scholarly journals Compressive Optic Neuropathy and Repeat Orbital Decompression

2015 ◽  
Vol 31 (5) ◽  
pp. 385-390 ◽  
Author(s):  
Courtney Y. Kauh ◽  
Shivani Gupta ◽  
Raymond S. Douglas ◽  
Victor M. Elner ◽  
Christine C. Nelson ◽  
...  
Keyword(s):  
Optic Neuropathy ◽  
Orbital Decompression ◽  
Compressive Optic Neuropathy

“Balanced” Orbital Decompression for Severe Graves' Orbitopathy: Technique with Treatment Algorithm

2003 ◽  
Vol 128 (2) ◽  
pp. 228-235 ◽  
Author(s):  
Kacker Ashutosh ◽  
Kazim Michael ◽  
Murphy Mark ◽  
Trokel Stephen ◽  
G. Close Lanny
Keyword(s):  
Optic Nerve ◽  
Optic Neuropathy ◽  
Treatment Algorithm ◽  
Orbital Decompression ◽  
Nerve Function ◽  
Muscle Involvement ◽  
Compressive Optic Neuropathy ◽  
Average Decrease ◽  
Graves Orbitopathy ◽  
Low Incidence

BACKGROUND: Graves' orbitopathy can produce proptosis, compressive optic neuropathy, and extraocular motility abnormalities; symptoms result from an increase in orbital volume due to expansion of intraorbital fat, with or without extraocular muscle involvement. STUDY DESIGN: We conducted a chart review of patients who underwent orbital decompression to treat Graves' orbitopathy. Twenty-two orbits (13 patients) underwent orbital bone decompression, of which 17 orbits (9 patients) underwent the combined medial and lateral “balanced” decompression. RESULTS: All patients had significant improvement with an average decrease in proptosis of 5.9 mm in the balanced decompression group. Restoration of normal optic nerve function was achieved in all patients with compressive optic neuropathy. Diplopia was noted in 4 patients (30.7%) preoperatively. Two patients had new postoperative diplopia (15.35%). CONCLUSION: In our experience, “balanced” decompression results in a reduction of proptosis and improved optic nerve function and has a low incidence of complications.

Long-term Efficacy of Orbital Decompression for Compressive Optic Neuropathy of Graves' Eye Disease

Ophthalmology ◽  
1991 ◽  
Vol 98 (9) ◽  
pp. 1435-1442 ◽  
Author(s):  
Keith D. Carter ◽  
Bartley R. Frueh ◽  
Thomas P. Hessburg ◽  
David C. Musch
Keyword(s):  
Optic Neuropathy ◽  
Eye Disease ◽  
Orbital Decompression ◽  
Compressive Optic Neuropathy ◽  
Term Efficacy
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