Lumbreras-Fernández Blanca, Sales-Sanz Marco, Contreras Inés, Albandea Ana R
Ophthalmology Department, Ramón y Cajal University Hospital , Madrid , Spain .
Orbit. 2015;34(4):201-5. doi: 10.3109/01676830.2015.1022661. Epub 2015 May 19.
To describe the results of orbital decompression in patients with spontaneous globe luxations and to evaluate predisposing factors for this condition.
The clinical records of patients who underwent orbital decompression for the treatment of spontaneous globe luxations between 2010 and 2013 were reviewed. Data collected were age, gender, predisposing factors, preoperative and postoperative exophthalmometry, duration of follow-up, presence of diplopia before and after surgery and intra- and postoperative complications.
Seven patients underwent orbital decompression after spontaneous globe luxation during the study period. Six patients underwent bilateral decompression. Two patients underwent a three-wall decompression, four of them medial and lateral decompression and one patient medial decompression. The predisposing factors for globe luxation were Graves' orbitopathy, malar hypoplasia, high myopia, floppy eyelid syndrome and orbital fat hypertrophy in the context of obesity. After orbital decompression, none of the patients reported new globe luxations. No intraoperative complications were observed. None of the patients developed de novo diplopia.
Orbital decompression is an effective method for the prevention of new episodes in patients with spontaneous globe luxations. It has good aesthetic and functional results and addresses the exophthalmos present in most cases.
描述自发性眼球脱出患者眼眶减压的结果，并评估该病症的诱发因素。
回顾了2010年至2013年间因治疗自发性眼球脱出而接受眼眶减压的患者的临床记录。收集的数据包括年龄、性别、诱发因素、术前和术后眼球突出度测量、随访时间、手术前后复视的存在情况以及术中和术后并发症。
在研究期间，7例患者在自发性眼球脱出后接受了眼眶减压。6例患者接受了双侧减压。2例患者进行了三壁减压，4例进行了内侧和外侧减压，1例进行了内侧减压。眼球脱出的诱发因素包括格雷夫斯眼眶病、颧骨发育不全、高度近视、眼睑松弛综合征以及肥胖背景下的眼眶脂肪肥大。眼眶减压后，没有患者报告新的眼球脱出。未观察到术中并发症。没有患者出现新发复视。
眼眶减压是预防自发性眼球脱出患者新发作的有效方法。它具有良好的美学和功能效果，并解决了大多数病例中存在的眼球突出问题。
