endoscopic decompression of orbit and optic nerve in graves’ disease: case report
نویسندگان
چکیده
grave’s disease is a clinical syndrome consisting of hypermetabolism, diffuse thyroid enlargement and exophthalmos. which has ocular complications. due to the high incidence of these complications and the risk of blindness special attention is needed. many therapeutic methods including medical surgical and radiotherapy for ocular complications are suggested. in cases of medical therapy failure, surgery is recommended. one of its methods is orbital decompression and if needed optic nerve decompression by transnasal endoscopy. a graves’ patient with bilateral exophthalmos and severe visual loss was operated. with this method. after surgery in addition to return of normal eye appearance and eye movements, visual acuity of left eye improved significantly. this article describes this method, its results and complications.
منابع مشابه
Endoscopic orbital and optic nerve decompression.
The endoscopic transnasal approach is well suited for decompression of both the orbit and optic canal. High-resolution nasal endoscopes provide excellent visualization for bone removal along the orbital apex and skull base. Endoscopic orbital decompression has proved to be safe and effective for the treatment of patients with Graves' orbitopathy; however, the indications and outcomes for endosc...
متن کاملTransnasal endoscopic orbital decompression and Graves' ophtalmopathy.
AIM OF THE STUDY To assess the validity and the limits of endoscopic endonasal orbital decompression for Graves' ophtalmopathy resistant to the medical theapy. MATERIAL AND PATIENTS Between September 1994 and May 1998, 16 patients with Graves' ophtalmopathy resistant to the medical treatment underwent an orbital decompression transnasally. 27 orbits were decompressed. The surgery was bilatera...
متن کاملOptic nerve ischemia: optic nerve sheath decompression alone or with optic nerve decompression.
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Tension pneumo-orbit treated by endoscopic, endonasal decompression: case report and literature review.
OBJECTIVE We present a 38-year-old man with a tension pneumo-orbit following medial orbital wall fracture, managed with endoscopic decompression. METHOD A case report and a review of the world literature concerning the aetiology, clinical features and management of medial orbital wall fractures are presented. RESULTS Our patient presented with a post-traumatic tension pneumo-orbit exacerbat...
متن کاملEndoscopic orbital decompression for Graves' ophthalmopathy.
Graves' disease may occasionally result in significant proptosis that is either cosmetically unacceptable or causes visual loss. This has traditionally been managed surgically by external decompression of the orbital bony skeleton. Trans-nasal endoscopic orbital decompression is emerging as a new minimally-invasive technique, that avoids the need for cutaneous or gingival incisions. Decompressi...
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عنوان ژورنال:
acta medica iranicaجلد ۴۰، شماره ۴، صفحات ۲۶۱-۲۶۵
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