OBJECTIVE To investigate the safety and efficacy of a conservative orbital decompression using sharp-curette bony decompression and intraconal fat debulking through a transconjunctival incision in patients with thyroid-related orbitopathy and mild to moderate proptosis. DESIGN Retrospective, noncomparative, interventional case series. PARTICIPANTS AND METHODS Data from all patients undergoi...

AIMS To investigate the prevalence and to discuss the necessity of treating elevated intraocular pressures (IOP) in patients with Graves' orbitopathy (GO). In addition, to study the effects of orbital decompression and extraocular muscle surgery on IOP. METHODS The records of consecutive patients with GO referred in a 5 year period were studied and those selected, in which glaucoma medication...

ORBITAL DECOMPRESSION P. R. R. CLARKE (Middlesbrough) discussed a series of 20 patients with endocrine exophthalmos treated by lateral orbital decompression. There had been 14 bilateral decompressions, and in six patients a unilateral operation only had been performed. One patient had needed reoperation. Four patients had no thyroid abnormality, and two had untreated hyperthyroidism. In 14 pati...

OBJECTIVE To evaluate the efficacy and safety of a combined endoscopic and transconjunctival orbital decompression in patients with thyroid-related orbitopathy with orbital apex compression. STUDY DESIGN Retrospective review. METHODS A sequential series of patients with thyroid-related orbitopathy presenting with orbital apex compressive myopathy with and without optic neuropathy who were u...

OBJECTIVES To calculate the volume of bone in 3 areas of the deep lateral orbit that are available for removal in decompression surgery and to demonstrate these 3 areas within a 3-dimensional computed tomographic reconstruction of the orbit. DESIGN The 3 areas of bone in the deep lateral orbit were designated the lacrimal keyhole, the sphenoid door jamb, and the basin of the inferior orbital ...