Dysthyroid exophthalmos. Palliation by lateral orbital decompression.
Dysthyroid exophthalmos. Palliation by lateral orbital decompression.
复制标题
甲状腺功能障碍性突眼。
DOI：
10.1001/archopht.1966.03850010207010
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发表时间：
1966
影响因子：
--
通讯作者：
V. Casten
中科院分区：
文献类型：
--
作者：
A. Kroll;V. Casten
甲状腺功能异常1(内分泌型)突眼仍是临床治疗中的难题。不同作者倡导的不同形式的治疗表明，没有一种治疗方式是完全令人满意的。2本报告的目的是评估眼眶外侧减压术(Kronlein)对局部和医疗措施似乎不足以保护视力的严重疾病患者的疗效。材料与方法对18例重度甲状腺功能障碍性突眼症患者施行32例眼眶外侧减压术。在18名患者中，16名是我们其中一名(V.G.C.)的私人患者。手术指征是(1)进行性暴露角膜病变，(2)进行性视力下降，或(3)严重不适，尽管采取了局部和医学措施。手术时患者年龄从34岁到73岁不等，平均51岁。有八个男人和十个女人。14岁，有双侧和
Dysthyroid 1 (endocrine) exophthalmos remains a difficult problem in clinical management. The different forms of therapy advocated by different authors suggest that none is yet entirely satisfactory. 2 The purpose of this report is to evaluate the efficacy of the lateral orbital decompression operation (Kronlein) for patients with severe disease in whom local and medical measures seem to be inadequate to preserve vision. Materials and Methods A total of 32 lateral orbital decompression operations were performed upon 18 patients with severe dysthyroid exophthalmos (Table). Of the 18 patients, 16 were the private patients of one of us (V.G.C.). The indications for surgery were (1) progressive exposure keratopathy, (2) progressive decrease in visual acuity, or (3) severe discomfort, despite local and medical measures. The patients' ages ranged from 34 to 73 at time of operation with an average of 51. There were eight men and ten women. Fourteen, had bilateral and