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Updated: Jun 23, 2026
04:06
Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
Endoscopic orbital decompression for optic neuropathy in thyroid ophthalmopathy
I P Tang1, N Prepageran, V Subrayan
1Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. ingptang@yahoo.com
The Medical Journal of Malaysia
|April 24, 2009
Summary
Graves
Area of Science:
- Ophthalmology and Endocrinology
Background:
- Graves' ophthalmopathy affects 5% of patients with Graves' disease.
- Optic neuropathy is an uncommon but serious complication of Graves' ophthalmopathy.
Observation:
- A 49-year-old male with Graves' disease presented with bilateral optic neuropathy.
- Preoperative visual acuity was 6/36 (right) and 6/60 (left).
Findings:
- The patient underwent bilateral transnasal endoscopic orbital decompression.
- Postoperative visual acuity improved to 6/12 (right) and 6/24 (left) within two days.
Implications:
- Transnasal endoscopic orbital decompression is an effective treatment for optic neuropathy in thyroid eye disease.
- This surgical approach offers significant visual improvement after medical management failure.
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