Functional results in Graves' disease following ophthalmo-rhinosurgical orbital decompression

Abstract

The results of the first consecutive series of 36 orbital decompression operations (technique of Buschmann and Richter) were analyzed. Compression optic neuropathy with visual impairment and field defects improved postoperatively fast and to a remarkable extent. Lagophthalmos and lid retractions disappeared in most patients, but additional lid surgery was necessary in some cases. In severe motility disturbances, combined decompression and squint surgery resulted in good motility and normal binocular vision, at least in all important directions of gaze. Pseudoglaucoma itself needs no treatment, but primary glaucoma became uncontrollable during the development of an endocrine exophthalmos. It was controlled again by topical drug application after surgical orbital decompression. The operation is also indicated if severe grade III orbitopathy causes personal or professional problems for the patient.

Key Words:

• Graves' disease
• orbital decompression
• muscle surgery
• irradiation