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[Initial experience with transpalpebral orbital lipectomy]
1Augenklinik, Zentrum für Medizin und Gesundheitswissenschaft, Universität zu Debrecen, Nagyerdei krt. 98., 4012 Debrecen, Ungarn. ebalazs@jaguar.dote.hu
Purpose:
The aim of this study was to evaluate the short-term effectiveness of transpalpebral orbital lipectomy.
Method:
Using a transpalpebral approach, 2.0-6.5 ml connective tissue was removed from 50 orbits of 33 patients with mild to severe Graves' orbitopathy (25 females, 8 males) over a 5-year period. Indications for surgery comprised cosmetic correction of exophthalmos (27/33 patients), corneal damage (5/33), and rapid bilateral deterioration of visual acuity in 1 patient.
Results:
In 27 patients undergoing correction for aesthetic purposes no change in visual acuity ensued; in 4 of 5 keratopathy patients an improvement in visual acuity was detected. Diplopia ceased in 4 of 13 patients, diminished in 3 of 13 cases, and constantly increased in 2 of 13 cases. The high intraocular pressure returned to normal in 8 of 13 patients. The proptosis was reduced at 3.2+/-1.3 mm.
Conclusion:
Transpalpebral orbital lipectomy is a low-risk, highly effective technique for orbital decompression in both acute and chronic cases of Graves' orbitopathy.
