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Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

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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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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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Related Experiment Video

Updated: Oct 21, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Revision orbital decompression for thyroid eye disease.

Truong An Pham1, Brittany Simmons2, Nicholas J Potter1

  • 1Department of Otolaryngology - Head and Neck Surgery, University of Iowa Hospitals and Clinics, United States of America.

American Journal of Otolaryngology
|September 6, 2021
PubMed
Summary
This summary is machine-generated.

Revision orbital decompression surgery for thyroid eye disease is effective using open or endoscopic approaches. Both methods improve proptosis and intraocular pressure while preserving visual acuity and minimizing new diplopia.

Keywords:
DiplopiaEndoscopicEyeGraves'OculoplasticOrbital decompressionProptosisRevisionRhinologySinusThyroid

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Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Endocrinology

Background:

  • Thyroid eye disease (TED) can necessitate revision orbital decompression surgery for persistent or progressive symptoms.
  • Evaluating different surgical approaches for revision decompression is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To compare indications, surgical techniques, and outcomes of revision orbital decompression for TED using open, endoscopic, and combined approaches.

Main Methods:

  • Retrospective review of 30 revision orbital decompression procedures for TED over 17 years.
  • Analysis of patient demographics, surgical types, and outcomes including proptosis, intraocular pressure, visual acuity, and diplopia.

Main Results:

  • Open surgery was more common (25/30 procedures).
  • No statistically significant differences in visual acuity, proptosis reduction, or intraocular pressure change between open and endoscopic/combined groups.
  • Overall proptosis reduction of 2mm and intraocular pressure reduction of 1mmHg observed.

Conclusions:

  • Revision orbital decompression is indicated for progressive TED symptoms unresponsive to prior treatments.
  • Both endoscopic and non-endoscopic techniques yield favorable outcomes for visual acuity, intraocular pressure, and proptosis.
  • Low incidence of new-onset diplopia reported across approaches.