Orbital Decompression for Thyroid Eye Disease

Abstract Although most cases of thyroid eye disease (TED) can be managed medically, some refractory or severe cases are treated surgically with orbital decompression. Due to a lack of randomized controlled trials comparing surgical techniques for orbital decompression, none have been deemed superior...

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Bibliographic Details
Published in:Seminars in plastic surgery 2017-02, Vol.31 (1), p.040-045
Main Authors: Braun, Tara L., Bhadkamkar, Mohin A., Jubbal, Kevin T., Weber, Adam C., Marx, Douglas P.
Format: Article
Language:English
Subjects:
Review
Review Article
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Summary:Abstract Although most cases of thyroid eye disease (TED) can be managed medically, some refractory or severe cases are treated surgically with orbital decompression. Due to a lack of randomized controlled trials comparing surgical techniques for orbital decompression, none have been deemed superior. Thus, each case of TED is managed based on patient characteristics and surgeon experience. Surgical considerations include the extent of bony wall removal, the surgical approach, the choice of incision, and the use of fat decompression. Outcomes vary based on surgical indications and techniques; hence, vision can improve or worsen after the surgery.
ISSN:1535-2188
1536-0067
DOI:10.1055/s-0037-1598192