Anderson R L, Linberg J V
Arch Ophthalmol. 1981 Jan;99(1):120-4. doi: 10.1001/archopht.1981.03930010122016.
Patients with Graves' disease have an increased volume of orbital tissue that sometimes results in serious functional and cosmetic problems. Visual loss may result from optic nerve compression in the orbital apex. Surgical decompression provides space for expansion of orbital tissues and often results in dramatic improvement. A transorbital approach to decompression of the orbit, appropriate for the ophthalmologist with adequate orbital experience, is presented. A lower eyelid incision is used in the manner of exploring a blow-out fracture. The majority of the orbital floor and the entire ethmoidal complex are removed. Removal of bone to the orbital apex is emphasized in cases of optic neuropathy. A comparative study of the indications, results, and complications of this procedure vs other techniques of decompression for Graves' disease is presented in a companion article.
格雷夫斯病患者眼眶组织体积增大，有时会导致严重的功能和美容问题。眶尖的视神经受压可能导致视力丧失。手术减压可为眼眶组织扩张提供空间，通常会带来显著改善。本文介绍了一种适合有足够眼眶手术经验的眼科医生的经眶入路眼眶减压方法。采用下睑切口，如同探查爆裂性骨折一样。大部分眶底和整个筛窦复合体被切除。视神经病变病例强调切除至眶尖的骨质。在一篇配套文章中对该手术与格雷夫斯病其他减压技术的适应证、结果和并发症进行了对比研究。
