Optic Nerve Neuropathy from Graves’ Ophthalmopathy Treated by Endoscopic Orbital Decompression

Endoscopic orbital decompression for optic neuropathy in thyroid ophthalmopathy.

Optic neuropathy, an uncommon manifestation occurs in 5% of patients with Graves' ophthalmopathy. Its outcome is good if early and proper treatment given. We reported a 49 years old male patient of Graves' disease with bilateral optic neuropathy. He underwent bilateral transnasal endoscopic orbital decompression with marked improvement of visual acuity bilaterally. The preoperative visual acuit...

Endoscopic 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...

Endoscopic Orbital Decompression for Graves' Ophthalmopathy*

Background: In patients with Graves' ophthalmopathy, orbital decompression surgery is indicated for compressive optic neuropathy, severe corneal exposure, or for cosmetic deformity due to proptosis. Traditionally this has been performed through a transantral approach, but the associated complication rate is high. More recently, endoscopic orbital decompression has been performed successfully wi...

Orbital endoscopic decompression in Graves Ophthalmopathy Summary

Endonasal endoscopic orbital decompression in patients with Graves' ophthalmopathy.

AIM To present the results of endonasal endoscopic orbital decompression in patients with Graves' ophthalmopathy. METHODS Endonasal endoscopic orbital decompression was performed in 32 orbits of 21 patients with Graves' ophthalmopathy. In 17 patients the surgery was performed because of active ophthalmopathy non-responsive to conservative treatment, and in 4 patients for esthetic reasons. Pre...