Eli L Chang1, Alfio P Piva. 1. Department of Ophthalmology, Ophthalmic Plastic, Orbital & Reconstructive Surgery, Doheny Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, California 90033, USA.
Abstract
OBJECTIVE: To describe a technique for treating disfiguring thyroid-related orbitopathy by bony decompression into the temporal fossa and to analyze results. DESIGN: Retrospective, noncomparative case series with description of a surgical technique. PARTICIPANTS: Thirty-three consecutive patients with disfiguring thyroid-related orbitopathy undergoing decompression into the temporal fossa with the described technique. INTERVENTION: Reduction in exophthalmos by removal of the lateral orbital wall and the greater sphenoid wing using an eyelid crease approach. MAIN OUTCOME MEASURES: Amount of reduction in exophthalmos after surgery and incidence of induced postoperative diplopia. RESULTS: The average reduction in exophthalmos was 4.51 mm (range, 3-6 mm; standard deviation, +/-0.95 mm). New-onset postoperative diplopia was observed in 1 patient. CONCLUSIONS: Bony decompression of the orbit into the temporal fossa via an eyelid crease approach is an effective treatment for disfigurement in patients with thyroid-related orbitopathy and no preoperative diplopia.
OBJECTIVE: To describe a technique for treating disfiguring thyroid-related orbitopathy by bony decompression into the temporal fossa and to analyze results. DESIGN: Retrospective, noncomparative case series with description of a surgical technique. PARTICIPANTS: Thirty-three consecutive patients with disfiguring thyroid-related orbitopathy undergoing decompression into the temporal fossa with the described technique. INTERVENTION: Reduction in exophthalmos by removal of the lateral orbital wall and the greater sphenoid wing using an eyelid crease approach. MAIN OUTCOME MEASURES: Amount of reduction in exophthalmos after surgery and incidence of induced postoperative diplopia. RESULTS: The average reduction in exophthalmos was 4.51 mm (range, 3-6 mm; standard deviation, +/-0.95 mm). New-onset postoperative diplopia was observed in 1 patient. CONCLUSIONS: Bony decompression of the orbit into the temporal fossa via an eyelid crease approach is an effective treatment for disfigurement in patients with thyroid-related orbitopathy and no preoperative diplopia.