Single-stage Orbital Decompression, Strabismus and Eyelid Surgery in Moderate to Severe Thyroid Associated Orbitopathy
| Autor: | Sara Verrilli, Antonella Leonardi, Matteo Di Marino, Raffaello Romeo, Francesco M Quaranta-Leoni |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Moderate to severe medicine.medical_specialty genetic structures Exophthalmos Orbital decompression macromolecular substances 03 medical and health sciences 0302 clinical medicine Eyelid surgery Medicine Humans In patient Prospective Studies 030223 otorhinolaryngology Strabismus Retrospective Studies Single stage business.industry Thyroid Eyelids Decompression Surgical eye diseases Surgery Graves Ophthalmopathy Ophthalmology medicine.anatomical_structure Treatment Outcome 030221 ophthalmology & optometry sense organs medicine.symptom business Orbit |
| Zdroj: | Orbit (Amsterdam, Netherlands). 41(2) |
| ISSN: | 1744-5108 |
| Popis: | To evaluate the outcome of orbital decompression, strabismus and/or eyelid surgery in patients with moderate to severe thyroid-associated orbitopathy, when combined approach is preferred.Retrospective, comparative, non-randomized review of 45 patients operated on from 2015 to 2018. Simultaneous decompression, eyelid and/or strabismus surgery was performed in 34 eyes of 20 subjects (group 1). Patients with multi-step procedures were used as control groups: group 2 included patients with staged decompression and eyelid retraction surgery (15 cases, 19 eyes); group 3 included patients with staged decompression and vertical strabismus surgery (10 cases, 13 eyes). Mean follow-up was 2.9 ± 1.8 years. Mann Whitney two-tailed test was used for paired data, and Fisher's exact test for categorical data;Changes in margin reflex distance were not significantly different among patients of subgroup 1A (11 patients, one-step decompression/eyelid surgery) and group 2 (Simultaneous orbital decompression, strabismus and/or eyelid surgery resolved dysthyroid optic neuropathy, decreased proptosis, improved diplopia and eyelid position with a range comparable to that of a multi-step technique. If confirmed in prospective controlled studies, a one-stage approach might be advised to reduce the costs and time needed for rehabilitation in selected patients. |
| Databáze: | OpenAIRE |
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