1. [Initial experience with transpalpebral orbital lipectomy].
- Author
-
Balázs E, Nagy EV, Tóth K, Steiber Z, Kertész K, Szucs-Farkas Z, and Berta A
- Subjects
- Adolescent, Adult, Aged, Female, Graves Ophthalmopathy complications, Humans, Male, Middle Aged, Orbit surgery, Pilot Projects, Treatment Outcome, Vision Disorders etiology, Decompression, Surgical methods, Graves Ophthalmopathy surgery, Lipectomy methods, Ophthalmologic Surgical Procedures methods, Plastic Surgery Procedures methods, Vision Disorders prevention & control
- Abstract
Purpose: The aim of this study was to evaluate the short-term effectiveness of transpalpebral orbital lipectomy., Method: Using a transpalpebral approach, 2.0-6.5 ml connective tissue was removed from 50 orbits of 33 patients with mild to severe Graves' orbitopathy (25 females, 8 males) over a 5-year period. Indications for surgery comprised cosmetic correction of exophthalmos (27/33 patients), corneal damage (5/33), and rapid bilateral deterioration of visual acuity in 1 patient., Results: In 27 patients undergoing correction for aesthetic purposes no change in visual acuity ensued; in 4 of 5 keratopathy patients an improvement in visual acuity was detected. Diplopia ceased in 4 of 13 patients, diminished in 3 of 13 cases, and constantly increased in 2 of 13 cases. The high intraocular pressure returned to normal in 8 of 13 patients. The proptosis was reduced at 3.2+/-1.3 mm., Conclusion: Transpalpebral orbital lipectomy is a low-risk, highly effective technique for orbital decompression in both acute and chronic cases of Graves' orbitopathy.
- Published
- 2006
- Full Text
- View/download PDF