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Strabismus. 2011 Jun;19(2):35-7. doi: 10.3109/09273972.2011.575432.

The management of patients with thyroid eye disease after bilateral orbital 3 wall decompression.

Author information

1
Moorfields Eye Hospital, London. a.maino@doctors.org.uk

Abstract

INTRODUCTION:

Thyroid eye disease is the most common cause of unilateral and bilateral proptosis in adults. Orbital decompression surgery may cause and/or worsen a pre-existing ocular motility disorder.

METHODS:

A retrospective review was carried out of all bilateral 3 wall orbital decompressions for severe thyroid eye disease performed between January 2002 and December 2004 by one surgeon. Subsequent surgeries were recorded.

RESULTS:

Seventy-four patients were identified, 59 (80%) females and 15 (20%) males. Mean age at the time of decompression was 46 years. Fifteen (20%) patients complained of diplopia due to strabismus prior to decompression surgery and 20 (27%) developed new diplopia postsurgery. Twenty patients (27%) required no further intervention following decompression surgery; the remainder underwent an average of 2.5 procedures. Strabismus surgery was performed in 32 (43%) patients. The mean time from the decompression to first strabismus surgery was 12 months. Forty-three (58%) patients underwent lid surgery. The mean time from decompression to first lid surgery was 16 months.

CONCLUSION:

This study demonstrates how this group of complex patients required multiple surgical procedures within an extended timescale, therefore requiring several in- and outpatient visits.

PMID:
21635163
DOI:
10.3109/09273972.2011.575432
[Indexed for MEDLINE]

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