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首页> 外文期刊>Clinical ophthalmology >Reasons for revision surgery after orbital decompression for Graves’ orbitopathy
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Reasons for revision surgery after orbital decompression for Graves’ orbitopathy

机译：Graves眼眶病眼眶减压后进行翻修手术的原因

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Objectives: An analysis of complications and causes of failure in orbital decompression necessitating a second operation.Methods: Between December 1992 and April 2007, 375 patients (719 orbits) were operated on using various techniques. Fourteen patients were initially operated on in our unit: 8 (group A1) were re-operated on after a short time due to complications connected with the decompression operation, 7 (group A2) were operated on after some time due to recurrence of the illness or unsatisfactory decompression (one patient is in both group A1 and A2). Five patients (group B) underwent a first operation elsewhere.Results: For group A1 the most serious complications were connected to the nasal approach. For group A2 the operations were performed either because of a neuropathy recurrence or for further proptosis reduction due to recurrence or patient dissatisfaction. Lack of preoperative data hinders conclusions about group B, apart from one patient where the operation had not resolved a serious optic neuropathy after decompression based on Olivari technique combined with three-wall operation according to Mourits and colleagues (1990).Conclusions: We can deduce from group A1 that extreme attention is necessary during endonasal access, from group A2 that balancing the eyes is advisable, sacrificing maximum proptosis reduction to gain greater patient satisfaction, and from group B that decompression of the orbital apex is fundamental in the case of neuropathy.
机译：目的：分析需要进行第二次手术的眼眶减压的并发症和失败原因。方法：1992年12月至2007年4月，采用各种技术对375例患者（719眼）进行了手术。最初在本单位接受手术的14例患者：8例（A1组）由于减压手术相关并发症而在短时间内再次手术，7例（A2组）由于疾病复发在一段时间后再次手术或减压效果不理想（A1和A2组均为一名患者）。五名患者（B组）在其他地方进行了第一次手术。结果：对于A1组，最严重的并发症与鼻腔入路有关。对于A2组，由于神经病复发或由于复发或患者不满意而进一步减少了眼球突出症，因此进行了手术。缺乏术前数据阻碍了关于B组的结论，除了一位患者之外，根据Mourits及其同事（1990年）的研究，该患者在基于Olivari技术并结合三壁手术进行减压后未能解决严重的视神经病变。 A1组认为在鼻内入路时需要格外注意，A2组建议保持眼睛平衡，最大程度地减少眼球突出，以获得更大的患者满意度，B组则认为眼眶减压对神经病变至关重要。

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