Clinical Report
Endoscopic transethmoid orbital medial wall decompression for thyroid associated ophthalmopathy
Xu Linlin, Yuan Xinpeng, Lu Jing, Pu Wei, Zhou Yuan, Zhu Yunmei, Feng Xiao
Published 2017-11-25
Cite as Chin J Ocul Traum Occupat Eye Dis, 2017,39(11): 840-842. DOI: 10.3760/cma.j.issn.2095-1477.2017.11.011
Abstract
ObjectiveTo evaluate the efficacy of endoscopic transethmoid and orbital medial wall decompression combined with orbital fat decompression for thyroid associated ophthalmopathy (TAO).
MethodsThe data of 17 eyes of 11 patients with TAO were selected and retrospectively analyzed. They receieved endoscopic transethmoid and orbital medial wall decompression combined with orbital fat decompression. All patients were followed up periodically.
ResultsSix months after surgery, the mean reduction in proptosis was (5.24±1.79)mm, the difference was statistically significant between before and after surgery (P<0.05). Postoperatively the difference of exophthalmos between the both eyes was within 2 mm. Corneal epithelial abnormalities decreesed from 14 eyes (82.35%) preoperative to 2 eyes (11.76%) postperative , the difference was statistically significant (P<0.05). And postoperative mean height of palpebral fissure decreased(2.59±0.48)mm, the difference was statistically significant(P<0.05). There was no loss of visual acuity, orbital bleeding or other complication.
ConclusionThe endoscopic transethmoid orbital medial wall decompression combined with orbital fat decompression is an effective treatment for TAO.
Key words:
Ophthalmopathy, thyroid associated; Orbital decompression, transethmoid medical wall, endoscopic
Contributor Information
Xu Linlin
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
Yuan Xinpeng
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
Lu Jing
Department of Ophthalmology, Zibo Municipal Government Agencies Hospital, Shandong 255000, China
Pu Wei
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
Zhou Yuan
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
Zhu Yunmei
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
Feng Xiao
Department of Ophthalmology, the Central Hospital of Zibo, Shandong 255031, China
