甲状腺眼病的内镜下眼眶减压术。

Endoscopic orbital decompression for thyroid eye disease.

作者信息

Asaria R H, Koay B, Elston J S, Bates G E

机构信息

Oxford Eye Hospital, UK.

出版信息

Eye (Lond). 1998;12 ( Pt 6):990-5. doi: 10.1038/eye.1998.255.

DOI:10.1038/eye.1998.255

PMID:10326002

Abstract

BACKGROUND

Thyroid eye disease is a disorder of immune function resulting in extraocular myopathy and an increase in retrobulbar fat. These changes lead to the clinical features found in thyroid eye disease including proptosis, eyelid retraction, restrictive myopathy and sometimes compressive optic neuropathy. Orbital decompression is undertaken for optic nerve compression, exposure keratopathy or cosmesis. Previously this involved an external approach with the removal of the medial orbital wall along with the floor. An intranasal endoscopic approach with the removal of the medial orbital wall and part of the floor has recently been advocated as an alternative procedure.

METHODS

We present the results of 7 patients who underwent endoscopic orbital decompression. The effects on optic nerve function, proptosis and ocular motility were assessed. Symptoms before and after surgery were monitored.

RESULTS

The surgery was found to be successful in all cases with a reduction in proptosis and minimal effect on ocular motility. The surgery was also associated with a low post-operative morbidity.

CONCLUSION

We suggest endoscopic orbital decompression is an effective and safe treatment for dysthyroid eye disease.

摘要

背景

甲状腺眼病是一种免疫功能紊乱疾病，可导致眼外肌病和球后脂肪增多。这些变化导致了甲状腺眼病的临床特征，包括眼球突出、眼睑退缩、限制性肌病，有时还会出现压迫性视神经病变。眼眶减压术用于治疗视神经受压、暴露性角膜病变或美容需求。以前，这需要通过外部入路切除眶内侧壁和眶底。最近，一种经鼻内镜入路切除眶内侧壁和部分眶底的方法被提倡作为一种替代手术。