Reversal of dysthyroid optic neuropathy following orbital fat decompression

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Reversal of dysthyroid optic neuropathy following orbital fat decompression.

AIMS To document the successful treatment of five patients with dysthyroid optic neuropathy by orbital fat decompression instead of orbital bone decompression after failed medical therapy. METHODS Eight orbits of five patients with dysthyroid optic neuropathy were selected for orbital fat decompression as an alternative to bone removal decompression. Treatment with systemic corticosteroids an...

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Successful treatment of recurrent dysthyroid optic neuropathy following medical decompression

To document the successful treatment of patients with recurrent dysthyroid optic neuropathy (DON) by medical decompression. We presenting a case of 60 year-old Malay lady have been diagnosed to have thyrotoxicosis with multi nodular goiter more than 10 years. During the course of illness she had multiple episodes of recurrent DON on both eyes. She was successfully treated with cortico-steroid t...

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Orbital Volumetry in Graves' Orbitopathy: Muscle and Fat Involvement in relation to Dysthyroid Optic Neuropathy

Purpose. We wanted to investigate the relative significance of fat and muscle enlargement in the development of dysthyroid optic neuropathy (DON) in Graves' orbitopathy (GO). Methods. Preoperative coronal CT scans of 13 patients with and without DON who subsequently underwent orbital decompression were retrospectively analyzed. Thirteen patients imaged for unilateral orbital fractures served as...

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Orbital decompression for severe dysthyroid eye disease.

Current methods of medical treatment of this difficult condition are briefly reviewed, with comments on the generally unsatisfactory response. Attention is therefore directed to surgical methods and a short history given of the various routes used for orbital decompression. The author's own results of transantral, and more recently ethmoidal, decompression are given, with a detailed description...

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Course of pattern-reversed visual evoked cortical potentials in 30 eyes after bony orbital decompression in dysthyroid optic neuropathy.

AIM To investigate optic nerve function using the pattern-reversed visual evoked cortical potentials (VECP) before and after bony orbital decompression in dysthyroid optic neuropathy (DON) due to Graves' disease. METHODS A total of 30 eyes of 15 patients (n=14 female) were observed over 30 ± 13 months after bony three-wall orbital decompression. We examined visual acuity (VA), VECP P100 ampli...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 2000

ISSN: 0007-1161

DOI: 10.1136/bjo.84.6.600