Linberg J V, Anderson R L
Arch Ophthalmol. 1981 Jan;99(1):113-9. doi: 10.1001/archopht.1981.03930010115015.
In a few patients with Graves' disease, visual loss related to an optic neuropathy develops. Clinical and radiologic evidence suggests that the mechanism of visual loss is optic nerve compression in the orbital apex. Steroids may offer improvement, but often the condition recurs unless high doses are maintained. Orbital decompression provides dramatic visual and cosmetic improvement in most cases. A transorbital approach suitable to the experienced orbital surgeon for decompression of the orbital floor and medial wall has been presented in a companion article. Results of this approach in 12 eyes with visual loss unmanageable by steroid therapy indicate a gratifying improvement in vision. Strabismus is the most frequent complication. Results with follow-up ranging from six to 18 months are encouraging and comparable to the results obtained with other methods of surgical decompression.
在少数格雷夫斯病患者中，会出现与视神经病变相关的视力丧失。临床和影像学证据表明，视力丧失的机制是眶尖对视神经的压迫。类固醇可能会使病情有所改善，但除非维持高剂量，否则病情往往会复发。在大多数情况下，眼眶减压能显著改善视力和外观。在一篇配套文章中介绍了一种适合经验丰富的眼眶外科医生用于眶底和内侧壁减压的经眶入路。该方法应用于12只经类固醇治疗无法控制视力丧失的眼睛，结果显示视力有令人满意的改善。斜视是最常见的并发症。随访6至18个月的结果令人鼓舞，与其他手术减压方法的结果相当。
