Image-guided endoscopic orbital decompression for Graves' orbitopathy. Academic Article uri icon

Overview

abstract

  • OBJECTIVES: We studied the efficacy and safety of image-guided balanced orbital decompression for Graves' orbitopathy. METHODS: The data of 24 patients (45 orbits) were reviewed for demographics, ophthalmologic outcomes, and complications in regard to image-guided (18 orbits) versus non-image-guided surgery (27 orbits). RESULTS: Overall, all patients had a reduction in proptosis (mean reduction, 6.2 mm in proptosis) as measured by Hertel exophthalmometry. There was improvement in the visual acuity of all 12 orbits with preoperative acuity of 20/40 or worse and either complete resolution (38%) or improvement (62%) in the 16 orbits with optic neuropathy. These measures reached statistical significance. Despite subjective improvement in surgeon confidence, the use of image guidance did not result in a statistically significant difference in postoperative ophthalmologic outcomes. Medical and sinonasal complications were experienced by 11.1% and 18.5% of patients who underwent image-guided and non-image-guided orbital decompression, respectively. CONCLUSIONS: Image guidance may be a useful adjunct to balanced orbital decompression for Graves' orbitopathy, but it was not associated with a statistically significant improvement in outcomes in this study.

publication date

  • March 1, 2008

Research

keywords

  • Decompression, Surgical
  • Endoscopy
  • Graves Ophthalmopathy
  • Surgery, Computer-Assisted

Identity

Scopus Document Identifier

  • 40949088203

Digital Object Identifier (DOI)

  • 10.1177/000348940811700304

PubMed ID

  • 18444477

Additional Document Info

volume

  • 117

issue

  • 3