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Open Angle Glaucoma: Treatment01:27

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Endoscopic Orbital Decompression for Graves' Orbitopathy - A Vietnam Study.

Thi My Hanh Pham1,2, Chien Thang Nguyen1, Quoc Tung Mai2

  • 1Department of Ophthalmology, 103 Military Hospital, Hanoi, Vietnam.

Clinical Ophthalmology (Auckland, N.Z.)
|April 29, 2021
PubMed
Summary

Endoscopic orbital decompression effectively treated Graves' orbitopathy in Vietnamese patients, improving vision and reducing proptosis. The procedure demonstrated safety with manageable complications.

Keywords:
Graves‘ orbitopathydecompressionendoscopyoptic neuropathy

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Area of Science:

  • Ophthalmology
  • Endoscopic Surgery
  • Endocrinology

Background:

  • Graves' orbitopathy is an autoimmune condition affecting the eye socket.
  • Proptosis and compressive optic neuropathy are common, sight-threatening complications.
  • Surgical decompression is often necessary to preserve vision and improve aesthetics.

Purpose of the Study:

  • To assess the efficacy and safety of endoscopic orbital decompression.
  • To evaluate outcomes in patients with Graves' orbitopathy.
  • To analyze proptosis reduction and visual function improvements.

Main Methods:

  • A prospective study involving 15 patients (28 orbits) undergoing endoscopic orbital decompression.
  • Indications included proptosis (22 orbits) and compressive optic neuropathy (6 orbits).
  • Outcomes measured: proptosis reduction, visual acuity, visual fields, diplopia, and complications.

Main Results:

  • Mean proptosis reduction of 2.23 mm was achieved.
  • Significant improvement in visual acuity and visual fields for compressive optic neuropathy.
  • One case of intra-operative bleeding, resolved without visual impact; new/worsened diplopia in 4 patients.

Conclusions:

  • Endoscopic orbital decompression is an effective and safe surgical option.
  • It successfully manages compressive optic neuropathy in Graves' orbitopathy.
  • The procedure offers moderate proptosis reduction in the studied population.