Abstract
Ten patients with dysthyroid eye disease who underwent a three wall orbital decompression procedure performed via a coronal approach were reviewed. The indications, results, complications and surgical techniques involved in this surgery are discussed. We believe that this approach offers a number of advantages over other techniques and has a role in the management of carefully selected patients with dysthyroid eye disease who have severe unilateral or bilateral proptosis, with or without dysthyroid optic neuropathy.
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McCord CD Jr: Current trends in orbital decompression. Ophthalmology 1985, 92: 21–33.
Hurwitz JJ and Birt D : An individualized approach to orbital decompression in Graves, orbitopathy. Arch Ophthalmol 1985, 103: 660–5.
Baylis HI, Call NB, Shibata CS : The transantral orbital decompression (Ogura technique) as performed by the ophthalmologist. Ophthalmology 1980, 87: 1005–12.
Fells P : Orbital decompression for severe dysthyroid eye disease. Br J Ophthalmol 1987, 71: 107–11.
Linberg JV and Anderson RL : Transorbital decompression: indications and results. Arch Ophthalmol 1981, 99: 113–19.
Anderson RL and Linberg JV : Transorbital approach to decompression in Graves' disease. Arch Ophthalmol 1981, 99: 120–4.
Trobe JD, Glaser JS, LaFlamme P : Dysthyroid optic neuropathy. Arch Ophthalmol 1978, 96: 1199–209.
Hirsch KO and Urbanek J : Behandlung eines excessives Exophthalmos (Basedow) durch Entfer-nung von Orbitalfett von der Kieferhohle aus. Monatsschr Ohrenheilkd. Laryngorhinol 1930, 64: 212–13.
Naffziger HC : Progressive exophthalmos following thyroidectomy; its pathology and treatment. Ann Surg 1931, 94: 582–6.
Sewall EC : Operative control of progressive exophthalmos. Arch Otolaryngol 1936, 24: 621–4.
Ogura JH and Walsh TE : The transantral orbital decompression operation for progressive exophthalmos. Laryngoscope 1962, 72: 1078–97.
Kennerdell JS and Maroon JC : An orbital decompression for severe thyroid exophthalmos. Ophthalmology 1982, 89: 467–72.
Dollinger J : Die druckenlastung der Augenghohle durch Entfernung der Ausseren Orbitalwand bei hochgradigem Exopthalmuz und konsekutiver Hornhauterkrankung. Dtsch Med Wochenschr 1911, 37: 1888–90.
McCord CD Jr: Orbital decompression for Graves' disease; exposure through lateral canthal and inferior fornix incision. Ophthalmology 1981, 88: 533–41.
Ogura JH and Lucente FE : Surgical results of orbital decompression for malignant exophthalmos. Laryngoscope 1974, 84: 637–44.
Mourits M, Koornneef L, Wiersinga WM, Prummel MF, Berghout A, van der Gaag R : Orbital decompression for Graves' Ophthalmology by inferomedial plus lateral, and by coronal approach. Ophthalmology 1990, 97: 636–41.
Stewart WB, Levin PS, Toth BA : Orbital surgery; the technique of coronal scalp flap approach to the lateral orbitotomy. Arch Ophthalmol 1988, 106: 1724–6.
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Leatherbarrow, B., Lendrum, J., Mahaffey, P. et al. Three wall orbital decompression for Graves' ophthalmopathy via a coronal approach. Eye 5, 456–465 (1991). https://doi.org/10.1038/eye.1991.74
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DOI: https://doi.org/10.1038/eye.1991.74