| Popis: |
Inflammation of the orbital soft tissues in Graves’ orbitopathy, which is characterized by infiltration of the extraocular muscles, orbital fat, and lacrimal gland, may necessitate surgical intervention to preserve vision The resulting discrepancy between the closed bony space of the orbit and the expanding inflamed soft tissue volume within may be managed by performing boney orbital decompression surgery Indications for bone decompression include patients who fail medical therapy, suffer from globe subluxation or pain from a “tight” orbit, have documented ocular hypertension, or who may have significant cosmetic concerns Different types of incisions may be used to gain access to the walls of the orbit and include the lateral canthal, transconjunctival, transcaruncular, transcutaneous, antral and endoscopic approaches Multiple surgical techniques exist to decompress the lateral wall, orbital floor, and medial walls of the orbit The incision and bone decompression technique chosen is dependent upon the clinical situation, the surgeon’s experience, and the patient’s expectations |
