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Article: Endoscopic transnasal orbital decompression for thyrotoxic orbitopathy

TitleEndoscopic transnasal orbital decompression for thyrotoxic orbitopathy
Authors
KeywordsEndoscopes
Exophthalmos
Keratitis
Orbital diseases
Thyrotoxicosis
Issue Date2002
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2002, v. 8 n. 6, p. 406-410 How to Cite?
AbstractObjective. To evaluate the efficacy of endoscopic transnasal orbital decompression alone for thyrotoxic orbitopathy. Design. Retrospective review of consecutive procedures. Setting. Tertiary referral otorhinolaryngology centre. Patients. Twenty-three eyes of 14 patients. Intervention. Endoscopic transnasal orbital decompression. Main outcome measures. Proptosis reduction, intra-ocular pressure reduction, exposure keratitis reduction, visual acuity improvement, and complication rate. Results. There were no surgical complications for the 23 orbital decompressions. Proptosis reduction was achieved in 22 (96%) eyes. The mean proptosis reduction was 4.6 mm (median, 5.0 mm; range, 1.0-8.0 mm). The postoperative intra-ocular pressure decreased after surgical decompression in 20 (87%) eyes with a mean reduction of 11 mm Hg (median, 6 mm Hg; range, 1-35 mm Hg). Of the 15 eyes with incomplete closure of the eyelid before the operation, 11 (73 %) had complete eyelid closure after surgical decompression. Of the other four eyes that had incomplete closure, the gaps were reduced. The visual acuity was improved for 16 (70%) eyes with a median improvement of 3 Snellen lines (range, 1-8 lines). Conclusion. Endoscopic transnasal medio-inferior orbital wall decompression is a safe and adequate treatment for thyrotoxic orbitopathy with proptosis, exposure keratitis, and visual loss.
Persistent Identifierhttp://hdl.handle.net/10722/45127
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, APWen_HK
dc.contributor.authorKwan, KYWen_HK
dc.contributor.authorChan, Een_HK
dc.contributor.authorKung, AWCen_HK
dc.contributor.authorLam, KSLen_HK
dc.date.accessioned2007-10-30T06:17:58Z-
dc.date.available2007-10-30T06:17:58Z-
dc.date.issued2002en_HK
dc.identifier.citationHong Kong Medical Journal, 2002, v. 8 n. 6, p. 406-410en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45127-
dc.description.abstractObjective. To evaluate the efficacy of endoscopic transnasal orbital decompression alone for thyrotoxic orbitopathy. Design. Retrospective review of consecutive procedures. Setting. Tertiary referral otorhinolaryngology centre. Patients. Twenty-three eyes of 14 patients. Intervention. Endoscopic transnasal orbital decompression. Main outcome measures. Proptosis reduction, intra-ocular pressure reduction, exposure keratitis reduction, visual acuity improvement, and complication rate. Results. There were no surgical complications for the 23 orbital decompressions. Proptosis reduction was achieved in 22 (96%) eyes. The mean proptosis reduction was 4.6 mm (median, 5.0 mm; range, 1.0-8.0 mm). The postoperative intra-ocular pressure decreased after surgical decompression in 20 (87%) eyes with a mean reduction of 11 mm Hg (median, 6 mm Hg; range, 1-35 mm Hg). Of the 15 eyes with incomplete closure of the eyelid before the operation, 11 (73 %) had complete eyelid closure after surgical decompression. Of the other four eyes that had incomplete closure, the gaps were reduced. The visual acuity was improved for 16 (70%) eyes with a median improvement of 3 Snellen lines (range, 1-8 lines). Conclusion. Endoscopic transnasal medio-inferior orbital wall decompression is a safe and adequate treatment for thyrotoxic orbitopathy with proptosis, exposure keratitis, and visual loss.en_HK
dc.format.extent286862 bytes-
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dc.format.extent2279 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectEndoscopesen_HK
dc.subjectExophthalmosen_HK
dc.subjectKeratitisen_HK
dc.subjectOrbital diseasesen_HK
dc.subjectThyrotoxicosisen_HK
dc.subject.meshDecompression, Surgical - methodsen_HK
dc.subject.meshEndoscopy - methodsen_HK
dc.subject.meshExophthalmos - surgeryen_HK
dc.subject.meshNerve Compression Syndromes - complicationsen_HK
dc.subject.meshOptic Nerve - physiopathologyen_HK
dc.titleEndoscopic transnasal orbital decompression for thyrotoxic orbitopathyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=8&issue=6&spage=406&epage=410&date=2002&atitle=Endoscopic+transnasal+orbital+decompression+for+thyrotoxic+orbitopathyen_HK
dc.identifier.emailKung, AWC:awckung@hku.hken_HK
dc.identifier.emailLam, KSL:ksllam@hku.hken_HK
dc.identifier.authorityKung, AWC=rp00368en_HK
dc.identifier.authorityLam, KSL=rp00343en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid12459596-
dc.identifier.scopuseid_2-s2.0-0036899532en_HK
dc.identifier.hkuros75767-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036899532&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume8en_HK
dc.identifier.issue6en_HK
dc.identifier.spage406en_HK
dc.identifier.epage410en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridYuen, APW=7006290111en_HK
dc.identifier.scopusauthoridKwan, KYW=7006405810en_HK
dc.identifier.scopusauthoridChan, E=7401994013en_HK
dc.identifier.scopusauthoridKung, AWC=7102322339en_HK
dc.identifier.scopusauthoridLam, KSL=8082870600en_HK

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