Background: During the past decades, surgical intervention is the primary treatment modality for fronto-orbital fibrous dysplasia involving optic nerve. However, controversy has surrounded the role of intra-canal decompression in a number of ways. Objective: Our philosophy of saving optic nerve is that treatment paradigms should be tailored to the individual. Herein, we describe three patients ...

Deep lateral orbital wall decompression is considered the first choice procedure [1] in treating disfiguring proptosis, as well as, compressive optic neuropathy and congestive orbitopathy [2,3]. Although detailed normal anatomy of the deep lateral orbital wall has already been reported [1,4,5], there are no reports of anomalies of the wall. We experienced two types of anomalies of the deep late...

INTRODUCTION Orbital decompression is the indicated procedure for addressing exophthalmos and compressive optic neuropathy in thyroid eye disease. There are an abundance of techniques for removal of orbital bone, fat, or a combination published in the scientific literature. The relative efficacy and complications of these interventions in relation to the specific indications remain as yet undoc...

UNLABELLED The purpose of this study was to measure the changes in intraocular pressure (IOP) and refraction following orbital decompression for thyroid orbitopathy. METHODS Retrospective review of 18 eyes in 10 consecutive patients who underwent orbital decompression including intraconal fat excision for proptosis secondary to thyroid orbitopathy. IOP using tonopen, exophthalmometry, autoref...

PURPOSE To evaluate the outcome of eyelid retraction surgery in thyroid-related orbitopathy (TRO) patients in 2 different surgical settings: done simultaneously with orbital decompression or as a staged procedure after orbital decompression. DESIGN Retrospective, comparative, nonrandomized clinical study. PARTICIPANTS Ninety-six patients (158 eyes). METHODS A review of electronic medical ...

Early closure of cranial sutures results in various types of cranial vault deformities, named craniosynostosis. Although mostly associated with syndromic cases, bony orbit deformities such as exorbitism can be seen with various types of craniosynostosis. This condition can be associated with papilledema and besides its effect on the patient's appearance can cause subluxation of the globe, lagop...

PURPOSE The purpose of this study is to identify the subgroups of thyroid eye disease (TED) patients most likely to benefit from orbital fat decompression. METHODS This retrospective study reviews 217 orbits of 109 patients who underwent orbital fat decompression for proptosis secondary to thyroid eye disease. Charts were reviewed for demographic, radiographic, clinical, and surgical data. Th...

PURPOSE To investigate the results of graded decompression of orbital fat and walls in Graves' orbitopathy (GO) considering the degree of proptosis reduction at surgery and preoperative computed tomography (CT) findings. METHODS This is a retrospective interventional case series. Graded orbital fat and wall decompression was performed in 90 orbits of 55 patients. In patients with enlarged ext...

PURPOSE To evaluate the clinical outcomes of balanced deep lateral and medial orbital wall decompression and to estimate surgical effects using computed tomography (CT) images in Korean patients with thyroid-associated ophthalmopathy (TAO). METHODS Retrospective chart review was conducted in TAO patients with exophthalmos who underwent balanced deep lateral and medial orbital wall decompressi...