THE MEDIAL ORBITAL STRUT IN THE PREVENTION OF POSTDECOMPRESSION DYSTOPIA IN DYSTHYROID OPHTHALMOPATHY

被引:99
作者
GOLDBERG, RA
SHORR, N
COHEN, MS
机构
[1] Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, CA
关键词
OCULAR DYSTOPIA; BONY ORBITAL DECOMPRESSION; MEDIAL ORBITAL STRUT;
D O I
10.1097/00002341-199203000-00005
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Ocular dystopia with inferomedial displacement of the globe is an unusual but well-recognized complication of bony orbital decompression. It is caused by displacement of the muscle cone and orbital connective tissue system into the maxillary and ethmoidal sinuses. We illustrate a surgical variation of bony orbital decompression leaving intact a strut of bone at the maxillary-ethmoid junction. This bony strut reduces inferomedial displacement of the muscle cone and provides a medial supporting "ledge" in cases requiring late orbital reconstruction.
引用
收藏
页码:32 / 34
页数:3
相关论文
共 13 条
  • [1] Long J.A., Baylis H.I., Hypoglobus following orbital decompression for dysthyroid ophthalmopathy, Ophthalmic Plast Reconstr Surg, 6, pp. 185-189, (1990)
  • [2] McCord C.D., Current trends in orbital decompression, Ophthalmology, 92, pp. 21-33, (1985)
  • [3] Trokel S.D., Cooper W.C., Orbital decompression: Effect on motility and globe position, Ophthalmology, 86, pp. 2064-2070, (1979)
  • [4] Young J.D., Ocular complications of transantral decompression for thyrotropic exophthalmos, Proc R Soc Med, 64, pp. 929-931, (1971)
  • [5] Stabile J.R., Trokel S.M., Increase in orbital volume obtained by decompression in dried skulls, Am J Ophthalmol, 95, pp. 327-331, (1983)
  • [6] Leone C.R., Piest K.L., Newman R.J., Medial and lateral wall decompression for thyroid ophthalmopathy, Am J Ophthalmol, 108, pp. 160-166, (1989)
  • [7] Hurwitz J.J., Birt D., An individualized approach to orbital decompression in Graves' orbitopathy, Arch Ophthalmol, 103, pp. 660-665, (1985)
  • [8] Sherer H., Orbital Decompression Surgery, pp. 169-172, (1989)
  • [9] McCord C.D., Orbital decompression for Graves' disease, Exposure through Lateral Canthal and Inferior Fornix Incision. Ophthalmology, 88, pp. 533-541, (1981)
  • [10] Ogura J.H., Walsh T.E., The trans-antral orbital decompression operation for progressive exophthalmos, Laryngoscope, 72, pp. 1078-1097, (1962)