Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Isolated caruncular approach for orbital decompression.

Kyung In Woo1, Yoon-Duck Kim

  • 1Department of Ophthalmology, Sungkyunkwan University School of Medicine, Seoul, Korea.

Japanese Journal of Ophthalmology
|August 6, 2004
PubMed
Summary

The isolated caruncular approach effectively decompresses orbital walls for thyroid ophthalmopathy, offering cosmetic benefits and treating optic neuropathy. This method provides rapid access and graded decompression for patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Navigating the delicate balance of the transorbital approach.

Taiwan journal of ophthalmology·2026
Same author

The new horizon of ophthalmic plastic and reconstructive surgery - From digital intelligence to precision intervention.

Taiwan journal of ophthalmology·2026
Same author

Bony realignment after surgical removal of orbital implantation cysts: A case series.

Taiwan journal of ophthalmology·2026
Same author

A novel scoring system for predisposing factors influencing surgical outcomes: comparing the endoscopic endonasal approach and transorbital approach for trigeminal schwannoma.

Journal of neurosurgery·2026
Same author

Reply Re: "A Safer and Easier Method to Open the Orbital Septum: Septal Ballooning".

Ophthalmic plastic and reconstructive surgery·2026
Same author

Reply Re: "A Safer and Easier Method to Open the Orbital Septum: Septal Ballooning".

Ophthalmic plastic and reconstructive surgery·2026

Area of Science:

  • Ophthalmology
  • Oculoplastic Surgery
  • Endocrine Ophthalmology

Background:

  • Thyroid ophthalmopathy causes proptosis and compressive optic neuropathy.
  • Orbital decompression is crucial for managing these symptoms.
  • The caruncular approach offers a minimally invasive surgical option.

Purpose of the Study:

  • To evaluate the effectiveness of the isolated caruncular approach for orbital decompression in thyroid ophthalmopathy.

Main Methods:

  • Retrospective review of 29 patients (48 orbits) undergoing caruncular approach orbital decompression.
  • Medial wall decompression in 3 orbits; medial and inferior wall decompression in 45 orbits.

Main Results:

  • Achieved mean retrodisplacement of 2.7 mm (medial wall) and 4.2 mm (medial and inferior walls).

Related Experiment Videos

  • New-onset diplopia in 4/17 asymptomatic patients, managed successfully with strabismus surgery.
  • Minimal complications: one hypertrophic scar, one pyogenic granuloma.

    • Conclusions:

    • The isolated caruncular approach provides rapid access to medial and inferior orbital walls.
    • Enables graded decompression, suitable for cosmetic and functional improvements.
    • Effective for patients with thyroid ophthalmopathy, including those with cosmetic concerns or compressive optic neuropathy.