Orbital decompression was effective in a case ofdysthyroid ophthalmopathy Yasushi Nakamura 1 , Kenji Ohtsuka 1 , Masato Hashimoto 1 1Dept of Ophthalmol, Sapporo Med Univ, Sch of Med pp.141-144
Published Date 1998/2/15
DOI https://doi.org/10.11477/mf.1410905715
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A 47-year-old woman presented with bilateral exophthalmos. She had been diagnosed as Graves' disease 11 years before. Systemic corticosteroid was beneficial for proptosis. Aggravation of dysthyroid ophthalmopathy recurred 8 years later associated with optic neuropathy. Eight months after external radiation and systemic corticosteroid proved futile, both eyes were treated by orbital decompression by removing the medial and inferior medial walls of the orbit and by forced herniation of orbital fat. The surgery induced, immediately, improvements of optic neuropathy, conjunctival hyperemia, ocular hypertension and exophthalmos which had resisted prior treatments. This case illustrates the value of orbital decompression for dysthyroid ophthalmopathy.

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