The Challenge of Orbital Decompression in a Patient with Multiple Autoimmune Diseases and Graves’ Orbitopathy: A Case Report and Review of Literature

Abstract

The association between multiple autoimmune diseases can make management of the ocular proptosis very difficult and challenging for the orbit surgeon. We report an interesting case of a patient affected by Stiff person syndrome, type-1 diabetes and Graves’ disease with Graves’ orbitopathy, who underwent orbital decompression. Anaesthesiologic problems, as well as factors affecting the post-operative result, are discussed in detail; pertinent literature review was performed and discussed.

KEYWORDS::

• Stiff person syndrome
• Graves’ orbitopathy
• Orbital decompression
• Surgical management

Declaration of interest: The authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper. No funding has been received to carry out the study and there are no commercial relationships relevant to the paper’s subject matter.