Goede resultaten van transantrale orbitadecompressie bij de orbitopathie van Graves

Evaluation of the results in patients treated with transantral orbital decompression for Graves‘ orbitopathy.

Design

Retrospective.

Setting

Eye Hospital Rotterdam and University Hospital Rotterdam, the Netherlands.

Method

Results and complications in all 75 patients treated with transantral decompression for Graves‘ orbitopathy in 1975-1990 were evaluated. Patient satisfaction was assessed using a questionnaire.

Results

In the first postoperative month the average reduction in proptosis was 3 mm. In the following years this reduction increased to an average of 4.9 mm. 32 of the patients without diplopia before the operation developed diplopia after the operation. 83 of them could be successfully treated with extraocular muscle surgery. Only 13 of the patients treated for cosmetic purposes developed new-onset diplopia. 70 of the patients experienced immediate postoperative improvement of visual acuity. Three patients remained with a dysaesthesia of the infraorbital nerve. 76 of the patients were satisfied with the result.

Conclusion

Transantral orbital decompression with its moderate morbidity, its good results and its patient satisfaction is a reliable surgical workhorse for patients with Graves‘ orbitopathy.