AI Article Synopsis
- Transantral orbital decompression is currently the most effective and straightforward method for treating visible exophthalmos with minimal complications.
- If eye movement issues persist after surgery, they can usually be resolved with muscle surgery.
- It's advisable not to cut the infraorbital nerve for immediate results, as further improvement in eye position can occur over the first year, and cosmetic considerations may warrant the procedure for some patients.
Article Abstract
For the moment, transantral orbital decompression is the best procedure for the treatment of manifest exophthalmos because it is a simple and effective method with hardly any postoperative complications. If some ocular motility disturbances do not disappear spontaneously postoperatively, they can be treated successfully by muscle surgery. We found that the postoperative reduction of exophthalmos further improved during the first year with an average of 3 mm. For this reason, it is not advisable to section the infraorbital nerve in order to obtain a better immediate reduction. We are convinced that this operation is justified for some patients with a manifest exophthalmos for cosmetic reasons only. Good preoperative photographic documentation is necessary in each case.
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| http://dx.doi.org/10.1007/BF00171474 | DOI Listing |
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