Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
THE RISK OF DIPLOPIA FOLLOWING ORBITAL FLOOR AND MEDIAL WALL DECOMPRESSION IN SUBTYPES OF OPHTHALMIC GRAVES-DISEASE
Autore:
NUNERY WR; NUNERY CW; MARTIN RT; TRUONG TV; OSBORN DR;
Indirizzi:
201 PENN PKWY INDIANAPOLIS IN 46280 INDIANA UNIV,DEPT OPHTHALMOL,MIDW EYE INST INDIANAPOLIS IN 46204
Titolo Testata:
Ophthalmic plastic and reconstructive surgery
fascicolo: 3, volume: 13, anno: 1997,
pagine: 153 - 160
SICI:
0740-9303(1997)13:3<153:TRODFO>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Keywords:
OPHTHALMIC GRAVES DISEASE; GRAVES OPHTHALMOPATHY; GRAVES ORBITOPATHY; ORBITAL DECOMPRESSION; 2-WALL ORBITAL DECOMPRESSION; DIPLOPIA; COMPRESSIVE OPTIC NEUROPATHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
8
Recensione:
Indirizzi per estratti:
Citazione:
W.R. Nunery et al., "THE RISK OF DIPLOPIA FOLLOWING ORBITAL FLOOR AND MEDIAL WALL DECOMPRESSION IN SUBTYPES OF OPHTHALMIC GRAVES-DISEASE", Ophthalmic plastic and reconstructive surgery, 13(3), 1997, pp. 153-160

Abstract

We preoperatively divided 58 ophthalmic Graves' disease patients intotypes I and II categories before two-wall orbital decompression. TypeI classification was given to patients who had no diplopia and essentially normal versions. Type IT classification was assigned to patientswith restrictive motility loss and diplopia within 20 degrees of the primary position. Ocular motility was assessed before and after two-wall orbital decompression. Only one of 25 type I patients (4%) experienced diplopia after orbital decompression, while seven of 14 (50%) (p =0.001) type II patients without preoperative primary-position diplopia had primary diplopia postoperatively. Of 12 type II patients who hadpreoperative primary-position diplopia, esotropia increased by an average of 12.4 diopters postoperatively. Vertical deviation increased anaverage of 13.4 diopters for 10 patients who underwent unilateral two-wall decompression. The likelihood of new or worsening diplopia in all type II patients following decompression was 22 of 36 (61%). We conclude that adverse motility change following two-wall orbital decompression is rare in type I disease patients, but it occurs 61% of the timein type II disease patients. Predicting preoperatively which patientsare likely to develop adverse motility change and diplopia may help clarify indications and risks of orbital decompression surgery in patients with ophthalmic Graves' disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 02:47:48