Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy

AIM OF STUDY: to improve the results of surgical treatment of patients with endocrine ophthalmopathy complicated by optical neuropathy. For this, medial orbitotomy and decompression of the optic nerve were performed for a patient with endocrine ophthalmopathy, CAS<3, OD=18 mm, OS=23 mm and vi...

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Main Authors: O. V. Levchenko, A. A. Kalandari, N. Y. Kutrovskaya, K. V. Revazyan
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2020-10-01
Series:Neotložnaâ Medicinskaâ Pomoŝʹ
Subjects:
Online Access:https://www.jnmp.ru/jour/article/view/917
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spelling doaj-1db5f7fa23624b03b9552ca74f6f03142021-07-28T20:52:54ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentNeotložnaâ Medicinskaâ Pomoŝʹ 2223-90222541-80172020-10-019116717210.23934/2223-9022-2020-9-1-167-172585Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical NeuropathyO. V. Levchenko0A. A. Kalandari1N. Y. Kutrovskaya2K. V. Revazyan3Clinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian FederationClinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian FederationClinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian FederationClinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian FederationAIM OF STUDY: to improve the results of surgical treatment of patients with endocrine ophthalmopathy complicated by optical neuropathy. For this, medial orbitotomy and decompression of the optic nerve were performed for a patient with endocrine ophthalmopathy, CAS<3, OD=18 mm, OS=23 mm and visual acuity OD=1.0 OS=0.2, using transorbital transconjunctival endoscopic access. The first step was a retro caruncular incision. After that, we defined an access to the medial wall of the orbit with its subsequent resection. Then, we performed ethmoidectomy and approach to the optic nerve canal. Upon completion of bone decompression, we opened periorbitis.RESULTS. The postoperative period was uneventful. In the early postoperative period, regression of exophthalmos was observed OD=18 mm, OS=20 mm, improvement in visual acuity OD=1.0 OS=0.5 . No complications were recorded. A satisfactory result was obtained.CONCLUSION. Transorbital endoscopic medial orbitotomy and optic decompression can be effectively used in the treatment of patients with endocrine ophthalmopathy complicated by optic neuropathy, refractory to conservative therapy. The technique is promising and requires further randomized studies.https://www.jnmp.ru/jour/article/view/917endocrine ophthalmopathyorbit decompressionoptical neuropathy
collection DOAJ
language Russian
format Article
sources DOAJ
author O. V. Levchenko
A. A. Kalandari
N. Y. Kutrovskaya
K. V. Revazyan
spellingShingle O. V. Levchenko
A. A. Kalandari
N. Y. Kutrovskaya
K. V. Revazyan
Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
Neotložnaâ Medicinskaâ Pomoŝʹ
endocrine ophthalmopathy
orbit decompression
optical neuropathy
author_facet O. V. Levchenko
A. A. Kalandari
N. Y. Kutrovskaya
K. V. Revazyan
author_sort O. V. Levchenko
title Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
title_short Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
title_full Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
title_fullStr Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
title_full_unstemmed Transorbital Endoscopic Medial Orbitotomy and Decompression of the Optic Nerve in Patients with Endocrine Ophthalmopathy Complicated by Optical Neuropathy
title_sort transorbital endoscopic medial orbitotomy and decompression of the optic nerve in patients with endocrine ophthalmopathy complicated by optical neuropathy
publisher Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
series Neotložnaâ Medicinskaâ Pomoŝʹ
issn 2223-9022
2541-8017
publishDate 2020-10-01
description AIM OF STUDY: to improve the results of surgical treatment of patients with endocrine ophthalmopathy complicated by optical neuropathy. For this, medial orbitotomy and decompression of the optic nerve were performed for a patient with endocrine ophthalmopathy, CAS<3, OD=18 mm, OS=23 mm and visual acuity OD=1.0 OS=0.2, using transorbital transconjunctival endoscopic access. The first step was a retro caruncular incision. After that, we defined an access to the medial wall of the orbit with its subsequent resection. Then, we performed ethmoidectomy and approach to the optic nerve canal. Upon completion of bone decompression, we opened periorbitis.RESULTS. The postoperative period was uneventful. In the early postoperative period, regression of exophthalmos was observed OD=18 mm, OS=20 mm, improvement in visual acuity OD=1.0 OS=0.5 . No complications were recorded. A satisfactory result was obtained.CONCLUSION. Transorbital endoscopic medial orbitotomy and optic decompression can be effectively used in the treatment of patients with endocrine ophthalmopathy complicated by optic neuropathy, refractory to conservative therapy. The technique is promising and requires further randomized studies.
topic endocrine ophthalmopathy
orbit decompression
optical neuropathy
url https://www.jnmp.ru/jour/article/view/917
work_keys_str_mv AT ovlevchenko transorbitalendoscopicmedialorbitotomyanddecompressionoftheopticnerveinpatientswithendocrineophthalmopathycomplicatedbyopticalneuropathy
AT aakalandari transorbitalendoscopicmedialorbitotomyanddecompressionoftheopticnerveinpatientswithendocrineophthalmopathycomplicatedbyopticalneuropathy
AT nykutrovskaya transorbitalendoscopicmedialorbitotomyanddecompressionoftheopticnerveinpatientswithendocrineophthalmopathycomplicatedbyopticalneuropathy
AT kvrevazyan transorbitalendoscopicmedialorbitotomyanddecompressionoftheopticnerveinpatientswithendocrineophthalmopathycomplicatedbyopticalneuropathy
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