[Re-evaluate the value of orbital decompression for thyroid associated ophthalmopathy]

Zhonghua Yan Ke Za Zhi. 2017 Jun 11;53(6):401-403. doi: 10.3760/cma.j.issn.0412-4081.2017.06.001.
[Article in Chinese]

Abstract

Thyroid-associated ophthalmopathy (TAO) is a common autoimmune syndrome affecting the thyroid and orbit. It can result in the fibrosis of extraoular muscles and hyperplasia of adipose tissue. The mechanism of TAO is not clear and there was few effective treatment. Recently, orbital decompression was performed on more and more patients. The surgery can improve the appearance of the patient and relieve the symptoms caused by the high orbital pressure. Therefore, it is necessary to re-evaluate the clinical value of the orbital decompression and surgical indications. The principles and techniques of orbital decompression with relative factors were discussed in this review. (Chin J Ophthalmol, 2017, 53: 401-403).

TAO是以眼外肌肥厚或纤维化以及眼眶脂肪增生水肿为眼部特征的累及甲状腺和眼眶的自身免疫性疾病。发病机制尚不明确,导致临床治疗手段匮乏。近年来,眼眶减压术用于治疗越来越多的甲状腺相关眼病患者,其可有效改善患者外观,并减轻患者高眶压引起的不适症状。本文将围绕眼眶减压术的实施原则、术式的差异以及相关影响因素,进一步探讨眼眶减压术的临床价值,规范手术适应证,使其能够在临床发挥更大的作用。(中华眼科杂志,2017,53:401-403).

Keywords: Decompression, surgical; Graves ophthalmopathy; Orbit.

Publication types

  • Evaluation Study
  • Review

MeSH terms

  • Decompression, Surgical* / methods
  • Female
  • Graves Ophthalmopathy / surgery*
  • Humans
  • Male
  • Orbit / surgery*
  • Treatment Outcome