Erfahrungen mit transpalpebraler orbitaler lipektomie

E. Balázs, E. V. Nagy, K. Tóth, Z. Steiber, K. Kertész, Z. Szucs-Farkas, A. Berta

Research output: Article

2 Citations (Scopus)

Abstract

Purpose. The aim of this study was to evaluate the short-term effectiveness of transpalpebral orbital lipectomy. Method. Using a transpalpebral approach, 2.0-6.5 ml connective tissue was removed from 50 orbits of 33 patients with mild to severe Graves' orbitopathy (25 females, 8 males) over a 5-year period. Indications for surgery comprised cosmetic correction of exophthalmos (27/33 patients), corneal damage (5/33), and rapid bilateral deterioration of visual acuity in 1 patient. Results. In 27 patients undergoing correction for aesthetic purposes no change in visual acuity ensued; in 4 of 5 keratopathy patients an improvement in visual acuity was detected. Diplopia ceased in 4 of 13 patients, diminished in 3 of 13 cases, and constantly increased in 2 of 13 cases. The high intraocular pressure returned to normal in 8 of 13 patients. The proptosis was reduced at 3.2±1.3 mm. Conclusion. Transpalpebral orbital lipectomy is a low-risk, highly effective technique for orbital decompression in both acute and chronic cases of Graves' orbitopathy.

Translated title of the contributionInitial experience with transpalpebral orbital lipectomy
Original languageGerman
Pages (from-to)517-522
Number of pages6
JournalOphthalmologe
Volume103
Issue number6
DOIs
Publication statusPublished - jún. 1 2006

ASJC Scopus subject areas

  • Ophthalmology

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    Balázs, E., Nagy, E. V., Tóth, K., Steiber, Z., Kertész, K., Szucs-Farkas, Z., & Berta, A. (2006). Erfahrungen mit transpalpebraler orbitaler lipektomie. Ophthalmologe, 103(6), 517-522. https://doi.org/10.1007/s00347-006-1342-7