Sheng Haibin, Cai Changping, Cheng Yu, Jiao Qin, Zhu Wei, Zhao Yongju, Fang Wenqiang, Tan Ling
Department of Otolaryngology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Jan;26(1):27-9. doi: 10.13201/j.issn.1001-1781.2012.01.013.
To evaluate the therapeutic results of endoscopic orbital decompression for thyroid-associated ophthalmopathy.
The records of nine patients (twelve orbits) received endoscopic orbital decompression for thyroid-associated ophthalmopathy were analyzed for changes in visual acuity, intraocular pressure, proptosis, corneal ulceration and movement. The follow-ups ranged from two months to thirty-six months.
Twelve orbits (100%) had improvement in visual acuity (range 0.1-0.7). Ten orbits (83.3%) decreased in intraocular pressure (range 0.2-21.4 mm Hg). Eight orbits (66.70%) decreased in proptosis (one-five mm). The orbit with corneal ulcer was healed after decompression. Diplopia was cured in one of four patients.
Endoscopic orbital decompression is a safe and effective procedure for the treatment of thyroid-associated ophthalmopathy.
评估内镜下眼眶减压术治疗甲状腺相关性眼病的疗效。
分析9例（12只眼眶）接受内镜下眼眶减压术治疗甲状腺相关性眼病患者的视力、眼压、眼球突出度、角膜溃疡及眼球运动变化情况。随访时间为2个月至36个月。
12只眼眶（100%）视力改善（范围0.1 - 0.7）。10只眼眶（83.3%）眼压降低（范围0.2 - 21.4毫米汞柱）。8只眼眶（66.70%）眼球突出度降低（1 - 5毫米）。角膜溃疡的眼眶减压后愈合。4例患者中有1例复视治愈。
内镜下眼眶减压术是治疗甲状腺相关性眼病的一种安全有效的方法。
