Adenis J P, Robert P Y, Lasudry J G, Dalloul Z
Service d'Ophtalmologie, C.H.U. Dupuytren, Faculté de Médecine, Limoges, France.
Eur J Ophthalmol. 1998 Oct-Dec;8(4):246-52. doi: 10.1177/112067219800800408.
Retrospective evaluation of 41 proptosis reduction procedures using fat removal orbital decompression (FROD) according to a modified Olivari's technique.
Trans-septal excision of extraconal and intraconal fat was done under the microscope through the upper and lower eyelid blepharoplasty approach. Proptosis was measured with a Hertel exophthalmometer.
Mean excision of 7.31 + 1.9 ml (range 3.25-12 ml) of orbital fat reduced proptosis on average by 4.7 + 2.4 mm (range 1-11 mm). Side effects were few, limited only to ocular motility disturbances. There was no significant effect on visual fileds. A postoperative drop in IOP was noted in patients with preoperative IOP above 21 mmHg. Efficient palpebral lengthening can be achieved with combined section of the levator aponeurosis horns in the upper eyelid, and/or auricular cartilage graft in the lower eyelid.
FROD reduces proptosis in Grave's ophthalmopathy.
根据改良的奥利瓦里技术，对41例采用脂肪去除性眼眶减压术（FROD）的眼球突出复位手术进行回顾性评估。
通过上下眼睑成形术入路，在显微镜下经隔膜切除眶锥外和眶锥内脂肪。使用赫特尔眼球突出计测量眼球突出度。
平均切除7.31±1.9毫升（范围3.25 - 12毫升）眶脂肪，平均使眼球突出度降低4.7±2.4毫米（范围1 - 11毫米）。副作用较少，仅局限于眼球运动障碍。对视野无显著影响。术前眼压高于21毫米汞柱的患者术后眼压下降。通过上睑提肌腱膜角联合切断和/或下睑耳软骨移植可有效延长眼睑。
脂肪去除性眼眶减压术可减轻格雷夫斯眼病的眼球突出。
