Orbital Decompression for Preservation of Vision in Graves' Ophthalmopathy

Douglas A. Girod, James C. Orcutt, Charles W Cummings

Research output: Contribution to journalArticle

Abstract

Graves' ophthalmopathy (thyroid eye disease) can result in progressive visual loss. The University of Washington (Seattle) experience in orbital decompression was reviewed for the years 1983 through 1990 to determine overall safety and outcome. Twenty patients underwent transantral decompression of 36 orbits for either steroid therapy failure, steroid therapy intolerance, or recurrence of optic neuropathy with tapering of the steroid therapy. Decompression successfully improved visual function in 33 of the orbits (92%) and a second decompression procedure was successful in another two (5%) of the orbits (6%). There were no major complications or cases of decreased visual function. Diplopia, present preoperatively in 17 patients (85%), was improved in eight patients (47%) and unchanged in nine patients (53%). However, of the three patients without preoperative diplopia (15%), one had development of new-onset diplopia postoperatively. Transantral decompression of the orbit offers a safe and effective therapeutic modality for vision-threatening Graves' ophthalmopathy. (Arch Otolaryngol Head Neck Surg. 1993;119:229-233).

Original languageEnglish (US)
Pages (from-to)229-233
Number of pages5
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume119
Issue number2
DOIs
StatePublished - 1993

Fingerprint

Graves Ophthalmopathy
Decompression
Orbit
Diplopia
Steroids
Optic Nerve Diseases
Eye Diseases
Thyroid Diseases
Therapeutics
Head
Safety
Recurrence

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Orbital Decompression for Preservation of Vision in Graves' Ophthalmopathy. / Girod, Douglas A.; Orcutt, James C.; Cummings, Charles W.

In: Archives of Otolaryngology--Head and Neck Surgery, Vol. 119, No. 2, 1993, p. 229-233.

Research output: Contribution to journalArticle

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