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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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2020-10-01
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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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