Silver Robert D, Harrison Andrew R, Goding George S
Department of Otolaryngology, University of Minnesota, Minneapolis 55455, USA.
Otolaryngol Head Neck Surg. 2006 Feb;134(2):260-6. doi: 10.1016/j.otohns.2005.10.018.
To compare the efficacy of endoscopic medial and lateral orbital wall surgery to 3-wall decompression in patients with thyroid eye disease.
A retrospective study of patients with thyroid eye disease with severe proptosis, exposure keratitis, or compressive optic neuropathy was conducted.
Mean reduction in proptosis was 4.37 mm in the 2-wall approach and 4.59 mm in the 3-wall group. Seventy-five percent of patients in the 2-wall group demonstrated improved visual acuity; 50% improved after 3-wall decompression. Vertical palpebral fissure height decreased by an average of 2.50 mm in the 2-wall group and by 2.03 mm in the 3-wall group. New onset diplopia was 11.8% and 12.5%, respectively.
Improvement in the degree of proptosis, visual acuity, and palpebral fissure height was seen in the majority of our patients and compared favorably to our results with 3-wall orbital decompression.
比较内镜下眼眶内侧壁和外侧壁手术与三壁减压术治疗甲状腺眼病患者的疗效。
对患有严重眼球突出、暴露性角膜炎或压迫性视神经病变的甲状腺眼病患者进行回顾性研究。
两壁手术组眼球突出平均减少4.37毫米，三壁手术组为4.59毫米。两壁手术组75%的患者视力改善；三壁减压术后50%的患者视力改善。两壁手术组垂直睑裂高度平均下降2.50毫米，三壁手术组下降2.03毫米。新发复视分别为11.8%和12.5%。
大多数患者的眼球突出程度、视力和睑裂高度均有改善，与我们三壁眼眶减压术的结果相比效果良好。
