Eyes wide shut: necessity and effect of adjunctive procedures after decompression surgery in patients with endocrine orbitopathy.
3D photography
Blepharoplasty surgery
Digital facial-analysis tool
Endocrine orbitopathy
Lid refinement
Lid repositioning
Ocular surface area
Journal
Head & face medicine
ISSN: 1746-160X
Titre abrégé: Head Face Med
Pays: England
ID NLM: 101245792
Informations de publication
Date de publication:
15 Sep 2021
15 Sep 2021
Historique:
received:
04
05
2021
accepted:
24
08
2021
entrez:
16
9
2021
pubmed:
17
9
2021
medline:
18
9
2021
Statut:
epublish
Résumé
Orbital decompression surgery is frequently the last therapeutic measure in the surgical treatment of endocrine orbitopathy (EO). Additional rehabilitative and corrective surgical treatments are often used to improve the resulting eyelid stigmata, such as an increased lid aperture and scleral show. The aim of the study was to evaluate the effect of adjunctive surgical procedures after orbital decompression surgery in patients with EO. A total of 120 orbitae from 65 patients with EO from 2010 to 2020 at a tertiary care center in Germany were retrospectively evaluated. Ocular surface area (OSA) and vertical palpebral fissures were three-dimensionally analyzed at the following stages: presurgical decompression, postsurgical decompression, and post-adjunctive surgical procedures. For the analysis of vertical palpebral fissures, predefined vertical line distances were measured on the upper and lower lids in the central, medial, and lateral pupillary regions. The initial OSA was 2,98 ± 0.85 cm Surgical decompression surgery improves OSA and leads to a significant reduction in lid aperture. Adjunctive surgical procedures, addressing the upper and lower lid, have a significant influence on the ongoing clinical course and contribute to a reduction in OSA.
Sections du résumé
BACKGROUND
BACKGROUND
Orbital decompression surgery is frequently the last therapeutic measure in the surgical treatment of endocrine orbitopathy (EO). Additional rehabilitative and corrective surgical treatments are often used to improve the resulting eyelid stigmata, such as an increased lid aperture and scleral show. The aim of the study was to evaluate the effect of adjunctive surgical procedures after orbital decompression surgery in patients with EO.
METHODS
METHODS
A total of 120 orbitae from 65 patients with EO from 2010 to 2020 at a tertiary care center in Germany were retrospectively evaluated. Ocular surface area (OSA) and vertical palpebral fissures were three-dimensionally analyzed at the following stages: presurgical decompression, postsurgical decompression, and post-adjunctive surgical procedures. For the analysis of vertical palpebral fissures, predefined vertical line distances were measured on the upper and lower lids in the central, medial, and lateral pupillary regions.
RESULTS
RESULTS
The initial OSA was 2,98 ± 0.85 cm
CONCLUSION
CONCLUSIONS
Surgical decompression surgery improves OSA and leads to a significant reduction in lid aperture. Adjunctive surgical procedures, addressing the upper and lower lid, have a significant influence on the ongoing clinical course and contribute to a reduction in OSA.
Identifiants
pubmed: 34526052
doi: 10.1186/s13005-021-00290-2
pii: 10.1186/s13005-021-00290-2
pmc: PMC8442390
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
41Informations de copyright
© 2021. The Author(s).
Références
Eye (Lond). 2018 Jun;32(6):1036-1041
pubmed: 29391576
Ophthalmic Plast Reconstr Surg. 2016 May-Jun;32(3):161-9
pubmed: 26784547
Ophthalmology. 1986 Apr;93(4):476-83
pubmed: 3703522
Aesthet Surg J. 2018 Sep 14;38(10):1052-1061
pubmed: 29373659
Eur Thyroid J. 2016 Mar;5(1):9-26
pubmed: 27099835
J Ophthalmol. 2015;2015:249125
pubmed: 26351570
J Craniomaxillofac Surg. 2018 Jan;46(1):44-49
pubmed: 29174550
J Plast Reconstr Aesthet Surg. 2016 May;69(5):679-86
pubmed: 26952126
Thyroid. 2002 Oct;12(10):855-60
pubmed: 12487767
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3):189-195
pubmed: 27097064
Orbit. 2016 Dec;35(6):335-338
pubmed: 27560939