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The severe endocrine exophthalmos, known as also malignant exophthalmos, may be unilateral or bilateral, occurs n 1-4 % of patient with Graves´ disease. During past 85 years, several procedures for orbital been described with their advantages. The authers recommended transantral-ethmoidal.approach, "Walsh.Ogura" technique, for orbital decompression of orbital contents into the ethmoid and maxillary sinuses. Other ocular deformities associated with proptosis, such as lid retraction, restriction of ocular mobility, congestion, and visual loss, can be treated by various methods described in detail.
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