Lee Taik Jong, Kang Min Hyuk, Hong Joon Pio
Department of Plastic Surgery, San Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
J Craniofac Surg. 2003 Jul;14(4):500-3. doi: 10.1097/00001665-200307000-00020.
Graves ophthalmopathy can result in progressive visual loss. Four patients with deteriorating vision despite steroid therapy and/or radiotherapy underwent three-wall orbital decompression through an extended subciliary incision for the preservation of vision. The authors evaluated the visual outcome and morbidity after three-wall orbital decompression for patients with Graves ophthalmopathy. Visual acuity improved for all patients without any major complications in the short-term postoperative period (4 weeks), and visual acuity maintained or improved during the follow-up period. The authors conclude that three-wall orbital decompression can be effective in improving the vision of patients with Graves ophthalmopathy whose vision failed to improve with conservative therapy.
格雷夫斯眼病可导致进行性视力丧失。4例尽管接受了类固醇治疗和/或放射治疗但视力仍在恶化的患者，通过延长的睫下切口进行了三壁眶减压术以保护视力。作者评估了格雷夫斯眼病患者三壁眶减压术后的视力结果和发病率。所有患者术后短期内（4周）视力均有改善，且无任何重大并发症，随访期间视力保持或有所改善。作者得出结论，对于经保守治疗视力未改善的格雷夫斯眼病患者，三壁眶减压术可有效改善其视力。
