Abstract

CACERES TOLEDO, María; MARQUEZ FERNANDEZ, Melba; CABALLERO REGUERA, Yoel  and  CORDOVA RAMOS, Gustavo. Orbital decompresion in thyroid-related orbitopathy. Rev Cubana Oftalmol [online]. 2008, vol.21, n.1, pp. 0-0. ISSN 1561-3070.

Thyroid-related orbitopathy is characterized by exophthalmos, palpebral retraction and compressive optic neuropathy in the most severe cases. Orbital decompression is performed to preserve the vision in these patients. OBJECTIVE: To show the experience gained by our hospital in performing this type of surgery using several approaches such as transcranial, anterior and nasal endoscopic paths. METHODS: An evaluating study was carried out in 30 cases operated on from January 1999 to February 2005. The surgical effectiveness was evaluated in terms of reduction of exophthalmos and visual improvement using the three approaches. RESULTS: According to data from tables 1, 2 and 3, all the operated patients reduced exophthalmos and improved their vision. The endoscopic approach exhibited excellent results with lower surgical trauma. CONCLUSIONS: It was concluded that orbital decompression is a very effective treatment for thyroid-related orbitopathy and that endoscopic approach is a minimum access procedure with good results.

Keywords : thyroid orbitopathy; decompressive surgery; approaches.

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