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Orbital Bone Decompression for Non-Thyroid Eye Disease Proptosis

Orbital Bone Decompression for Non-Thyroid Eye Disease Proptosis

Authors :
Antonio Augusto Velasco e Cruz
Victor Marques
Marlos Rodrigues Lopes E Silva
Jeremiah P. Tao
Roberto Murillo Limongi
Patricia Akaishi
Filipe José Pereira
Allan Christian Pieroni-Gonçalves
Francesco P. Bernardini
Martin H. Devoto
Eduardo Damous Feijó
Source :
Ophthalmic plastic and reconstructive surgery. 36(1)
Publication Year :
2019

Abstract

Purpose To report a multicenter large case series of orbital decompression for non-thyroid eye disease proptosis. Methods Retrospective chart review of cases of orbital decompression performed by 9 experienced orbital surgeons from different countries from 2014 to 2017 for non-thyroid eye disease proptosis. Patients were divided into 3 groups: 1) negative vector (high axial length or shallow orbit), 2) inflammatory, and 3) tumor. Types of orbital decompression and Hertel exophthalmometry (preoperative and minimum 6 months postoperative) were recorded. Charts were also assessed for serious complications. The amount of exophthalmometry improvement was recorded according to the above groups. Results The analysis included 41 orbits of 29 patients (14 women and 15 men) with a mean age of 38.9 years (ranging from 9 to 74; standard deviation (SD) 15.66). There were 17 orbits of 11 patients in the negative vector group, 16 orbits of 10 patients in the inflammatory group, and 8 orbits of 8 patients in the tumor group. The mean reduction of proptosis was 2.95 mm in the negative vector group, 2.54 mm in the inflammatory group, and 5.75 mm in the tumor group. There were no serious complications. Conclusions Orbital decompression was safe and effective in reducing proptosis for non-thyroid eye disease indications in this series. The amount of exophthalmometry improvement was less in the inflammatory orbitopathy group compared with other proptosis etiology groups.Orbital decompression may have a role in improving proptosis in non-thyroid eye disease entities.

Details

ISSN :
15372677
Volume :
36
Issue :
1
Database :
OpenAIRE
Journal :
Ophthalmic plastic and reconstructive surgery
Accession number :
edsair.doi.dedup.....b7f1086ddb09c086232b579b21fad494