Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience

To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperativel...

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Bibliographic Details
Published in:Revista do Hospital das Clinicás 2002-09, Vol.57 (5), p.217-222
Main Authors: Ferreira, Marcus Castro, Tuma, Jr, Paulo, Costa, Márcio Paulino, Bloise, Walter, Alves, Carlos Alberto Rodrigues
Format: Article
Language:English
Subjects:
Adipose Tissue - surgery
Adult
Female
Graves Disease - surgery
Humans
MEDICINE, GENERAL & INTERNAL
Middle Aged
Orbit - surgery
Treatment Outcome
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Summary:To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.
ISSN:0041-8781
1678-9903
0041-8781
DOI:10.1590/S0041-87812002000500005