Braun Tara L, Bhadkamkar Mohin A, Jubbal Kevin T, Weber Adam C, Marx Douglas P
Division of Ophthalmology, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2017 Feb;31(1):40-45. doi: 10.1055/s-0037-1598192.
Although most cases of thyroid eye disease (TED) can be managed medically, some refractory or severe cases are treated surgically with orbital decompression. Due to a lack of randomized controlled trials comparing surgical techniques for orbital decompression, none have been deemed superior. Thus, each case of TED is managed based on patient characteristics and surgeon experience. Surgical considerations include the extent of bony wall removal, the surgical approach, the choice of incision, and the use of fat decompression. Outcomes vary based on surgical indications and techniques; hence, vision can improve or worsen after the surgery.
虽然大多数甲状腺眼病（TED）病例可以通过药物治疗，但一些难治性或严重病例需要通过眼眶减压手术进行治疗。由于缺乏比较眼眶减压手术技术的随机对照试验，尚无一种手术技术被认为更具优势。因此，每个TED病例都根据患者特征和外科医生的经验进行处理。手术考虑因素包括骨壁切除范围、手术入路、切口选择以及脂肪减压的使用。手术效果因手术适应症和技术而异；因此，术后视力可能改善或恶化。
