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KMID : 0361020190620020125
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Korean Journal of Otolaryngology - Head and Neck Surgery
2019 Volume.62 No. 2 p.125 ~ p.130
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Three Wall Orbital Decompression for Compressive Optic Neuropathy in Thyroid Ophthalmopathy
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Song Ji-Ah
Kim Ju-Yeon
Lee Soo-Jung
Kwon Jae-Hwan
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Abstract
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Thyroid ophthalmopathy is an autoimmune disease that affect the orbital and periorbital soft tissue, characterized by bulging eye (exophthalmos) and compressed orbital structures, such as the optic nerves. The indications for surgical treatment for thyroid ophthalmopathy include decreased visual acuity caused by optic neuropathy, conjunctivitis and progressive facial deformity caused by exophthalmos. Orbital wall decompression by nasal endoscopy resulte in good cosmetic effects and visual recovery. Balanced orbital decompression is considered to be a safe and effective surgery that can help avoid postoperative diplopia. We introduce three successful cases of orbital wall decompression for the treatment of thyroid ophthalmopathy.
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KEYWORD
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Graves opthalmopathy, Orbital decompression, Thyroid eye disease
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