A randomized comparative study of inferomedial vs. balanced orbital decompression. Analysis of changes in orbital volume, eyelid parameters, and eyeball position.

ABSTRACT:

Background/objectives

The objective of this study is to investigate and compare changes in orbital volume, eyelid parameters, and eyeball position after inferomedial and balanced (medial + deep lateral walls) orbital decompression (OD) in patients with Graves' orbitopathy (GO).

Subjects/methods

Prospective interventional trial. Forty-two patients with inactive GO and clinical indication for OD were randomly assigned to inferomedial or balanced OD. Preoperative and postoperative Hertel exophthalmometry, standardized photography, and computed tomography were used to evaluate upper and lower eyelid margin reflex distances (MRD₁ and MRD₂), orbital expansion, and changes in eyeball position.

Results

Clinical and radiological exophthalmometry improved

SUBMITTER: Pereira TS 

PROVIDER: S-EPMC8873362 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature