Surgical results of orbital decompression for malignant exophthalmos.

In summary, we have presented the epidemiology, pathology, clinical classes, diagnostic techniques and surgical techniques employed, and the results in 220 patients who have undergone transantral orbital decompression for malignant exophthalmos. Reduction of proptosis up to 12 mm has been obtained. In 80 per cent of the patients the eyes were balanced within 1 mm. Complications have been minimal. We feel that this procedure has proven its efficacy in the treatment of malignant exophthalmos. In most cases it enables the preservation or improvement of vision and arrests the progressive extraocular muscle imbalance. The importance of close cooperation between otolaryngologist, endocrinologist and ophthalmologist cannot be overemphasized in the management of this disorder.