Decrease of Intraocular Pressure After Fat-Removal Orbital Decompression in Graves Disease
| Autor: | Philippe Camezind, Pierre-Yves Robert, Mauro Rivas, Jean-Paul Adenis, Jean-Yves Rulfi |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Intraocular pressure medicine.medical_specialty genetic structures Graves' disease Orbital decompression Humans Medicine In patient Postoperative Period Prospective Studies Intraocular Pressure Aged Aged 80 and over business.industry Fat removal Mean age General Medicine Middle Aged Decompression Surgical medicine.disease Graves Disease eye diseases Surgery Ophthalmology Treatment Outcome Adipose Tissue Female sense organs business Orbit Follow-Up Studies Cohort study |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 22:92-95 |
| ISSN: | 0740-9303 |
| DOI: | 10.1097/01.iop.0000203737.67334.d3 |
| Popis: | To address the efficacy of fat-removal orbital decompression to reduce intraocular pressure in patients with Graves disease.This cohort study included 64 eyes of 39 patients with Graves disease. Thirteen men and 36 women, with a mean age of 52.5 years (range, 27 to 80 years), underwent fat-removal orbital decompression. Intraocular pressure (applanation) and proptosis (Hertel exophthalmometry) were prospectively investigated before surgery and 1 week and 6 months after surgery.The volume of resected fat was 6.4+/- 4.5 (3 to 12) ml. The intraocular pressure in primary position decreased from 19.3+/- 4.4 mm Hg to 17.0+/- 2.9 mm Hg at 1 week (p0.001) and 15.9+/- 3.7 mm Hg at 6 months (p0.001). Mean proptosis dropped from 24.3+/- 2.5 mm before surgery to 19.9+/-3.0 mm at 1 week (p0.01), and 19.9+/-3.1 mm at 6 months (p0.01). Intraocular pressure decrease neither correlated to the volume of resected fat nor to proptosis reduction.Fat removal reduces intraocular pressure in patients with Graves disease, with no correlation to the volume of resected fat. |
| Databáze: | OpenAIRE |
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