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. 1988 Sep;72(9):683–687. doi: 10.1136/bjo.72.9.683

Graves' ophthalmopathy: III. Effect of transantral orbital decompression on optic neuropathy.

E S Hallin 1, S E Feldon 1, J Luttrell 1
PMCID: PMC1041556  PMID: 3179256

Abstract

Twenty-five patients (48 eyes) underwent transantral, surgical decompression of their orbits for treatment of Graves' ophthalmopathy with optic neuropathy. Visual acuity improved in 77%, remained unchanged in 17%, and worsened in 6%. Colour vision improved in 76%, remained unchanged in 20%, and worsened in 4%. Visual fields improved in 67%, remained unchanged in 12%, and worsened in 22%. In general the worse the vision preoperatively the greater the relative improvement postoperatively. Clinical and radiological findings failed to correlate with visual outcome of surgical intervention. The study shows surgery to be highly effective in restoring optic nerve function for patients with severe Graves' ophthalmopathy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BROWN J., COBURN J. W., WIGOD R. A., HISS J. M., Jr, DOWLING J. T. Adrenal steroid therapy of severe infiltrative ophthalmopathy of Graves' disease. Am J Med. 1963 Jun;34:786–795. doi: 10.1016/0002-9343(63)90087-1. [DOI] [PubMed] [Google Scholar]
  2. Covington E. E., Lobes L., Sudarsanam A. Radiation therapy for exophthalmos: report of seven cases. Radiology. 1977 Mar;122(3):797–799. doi: 10.1148/122.3.797. [DOI] [PubMed] [Google Scholar]
  3. Day R. M., Carroll F. D. Corticosteroids in the treatment of optic nerve involvement associated with thyroid dysfunction. Arch Ophthalmol. 1968 Mar;79(3):279–282. doi: 10.1001/archopht.1968.03850040281009. [DOI] [PubMed] [Google Scholar]
  4. Donaldson S. S., Bagshaw M. A., Kriss J. P. Supervoltage orbital radiotherapy for Graves' ophthalmopathy. J Clin Endocrinol Metab. 1973 Aug;37(2):276–285. doi: 10.1210/jcem-37-2-276. [DOI] [PubMed] [Google Scholar]
  5. Feldon S. E., Lee C. P., Muramatsu S. K., Weiner J. M. Quantitative computed tomography of Graves' ophthalmopathy. Extraocular muscle and orbital fat in development of optic neuropathy. Arch Ophthalmol. 1985 Feb;103(2):213–215. doi: 10.1001/archopht.1985.01050020065021. [DOI] [PubMed] [Google Scholar]
  6. Hurbli T., Char D. H., Harris J., Weaver K., Greenspan F., Sheline G. Radiation therapy for thyroid eye diseases. Am J Ophthalmol. 1985 Jun 15;99(6):633–637. doi: 10.1016/s0002-9394(14)76027-1. [DOI] [PubMed] [Google Scholar]
  7. Kroll A. J., Casten V. G. Dysthyroid exophthalmos. Palliation by lateral orbital decompression. Arch Ophthalmol. 1966 Aug;76(2):205–210. doi: 10.1001/archopht.1966.03850010207010. [DOI] [PubMed] [Google Scholar]
  8. Leone C. R., Jr, Bajandas F. J. Inferior orbital decompression for thyroid ophthalmopathy. Arch Ophthalmol. 1980 May;98(5):890–892. doi: 10.1001/archopht.1980.01020030884016. [DOI] [PubMed] [Google Scholar]
  9. Long J. C., Ellis G. D. Temporal decompression of the orbit for thyroid exophthalmos. Am J Ophthalmol. 1966 Dec;62(6):1089–1098. doi: 10.1016/0002-9394(66)92558-x. [DOI] [PubMed] [Google Scholar]
  10. McCord C. D., Jr Orbital decompression for Graves' disease. Exposure through lateral canthal and inferior fornix incision. Ophthalmology. 1981 Jun;88(6):533–541. [PubMed] [Google Scholar]
  11. Mulherin J. L., Jr, Temple T. E., Jr, Cundey D. W. Glucocorticoid treatment of progressive infiltrative ophthalmopathy. South Med J. 1972 Jan;65(1):77–80. doi: 10.1097/00007611-197201000-00017. [DOI] [PubMed] [Google Scholar]
  12. Ravin J. G., Sisson J. C., Knapp W. T. Orbital radiation for the ocular changes of Gravess' disease. Am J Ophthalmol. 1975 Feb;79(2):285–288. doi: 10.1016/0002-9394(75)90083-5. [DOI] [PubMed] [Google Scholar]
  13. Shorr N., Neuhaus R. W., Baylis H. I. Ocular motility problems after orbital decompression for dysthyroid ophthalmopathy. Ophthalmology. 1982 Apr;89(4):323–328. doi: 10.1016/s0161-6420(82)34793-4. [DOI] [PubMed] [Google Scholar]
  14. Surgical approach to the ophthalmopathy of Graves' disease. JAMA. 1971 Jun 7;216(10):1627–1631. [PubMed] [Google Scholar]
  15. WALSH T. E., OGURA J. H. Transantral orbital decompression for malignant exophthalmos. Laryngoscope. 1957 Jun;67(6):544–568. doi: 10.1288/00005537-195706000-00002. [DOI] [PubMed] [Google Scholar]

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