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NR 4-6/2005
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Odbarczenie
oczodołów w chorobie Gravesa-Basedowa – doniesienie wstępne
Orbital decompression in
Graves-Basedow disease – preliminary report
Jan Zapała, Grażyna Wyszyńska-Pawelec,
Ewa Staszak-Pappe1
Z Katedry i Kliniki Chirurgii Szczękowo-Twarzowej Collegium
Medicum Uniwersytetu Jagiellońskiegow Krakowie
Kierownik: dr hab. n. med. Jan Zapała
1Z Oddziału Okulistycznego Wojewódzkiego Szpitala
Specjalistycznego im. Ludwika Rydygiera w Krakowie
Ordynator: dr n. med. Jolanta Dubiel |
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| Summary: |
The aim of the paper is to
present our initial experience in surgical treatment of
patients with malignant exophthalmos.
Material and method: from 2001 to 2004, 11
patients with malignant exophthalmos were treated in our
Department. Preoperative exophthalmos ranged from 22 to
40mm, asymmetric exophthalmos was diagnosed in 5 cases.
Orbital decompression was indicated in patients with
ophthalmopathy (11), decreased visual acuity (4),
lagophthalmos (3). Decompression included orbital floor,
medial and lateral wall in 8 patients, orbital floor and
medial wall in 3.
Results: in 5 patients exophthalmos decreased
5-8mm, in 5 cases 2-3mm, 1 patient remained without
improvement.
Conclusions: 1. The treatment of malignant
exophthalmos requires multidisciplinary approach. 2
Orbital decompression should be followed by surgical
correction of eyelids and eyeball muscles. |
| Słowa kluczowe: |
oftalmopatia
Gravesa-Basedowa, odbarczenie oczodołu. |
| Key words: |
Graves-Basedow
ophthalmopathy, decompression of the orbit. |
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