Orbital decompression of exophthalmos.

In summary, we have presented our clinical experience, diagnostic techniques, surgical recommendations, and the results in 252 patients who have undergone transantral orbital decompression for malignant exophthalmos. Reduction of proptosis up to 12 mm. has been obtained. In 80 per cent of the patients the eyes were balanced within 1 mm. Complications have been minimal. We believe that this procedure has proved its efficacy in the treatment of malignant exophthalmos. In most cases it makes possible the preservation or improvement of vision and arrests the progressive extraocular muscle imbalance. The importance of close cooperation between the otolaryngologist, endocrinologist, and ophthalmologist cannot be overemphasized in the management of this disorder.