Traitement chirurgical de la diplopie secondaire à l'orbitopathie dysthyroïdienne [Surgical treatment of diplopia in Graves' orbitopathy]

Details

Serval ID
serval:BIB_537FC41BE499
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Traitement chirurgical de la diplopie secondaire à l'orbitopathie dysthyroïdienne [Surgical treatment of diplopia in Graves' orbitopathy]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Pitchon E.M., Klainguti G.
ISSN
0023-2165
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
224
Number
4
Pages
331-3
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: The correction of oculomotor disorder in Grave's disease is applied on pathological extraocular muscles. Based on the global muscular restriction (bilateral forced duction test) and angular measurements, we have used a non-adjustable technique. PATIENTS AND METHODS: We performed a retrospective analysis of 21 patients (23 operations) with thyroid-associated orbitopathy operated for persisting diplopia. The angles of deviation in the 9 diagnostic directions of gaze and the field of binocular vision were measured with the Harm's tangent scale before and after surgery. Sixteen patients were operated only on vertical muscles. The mean follow-up was 45 months. RESULTS: 76 % of the patients (95 % confidence interval [CI], 58-94 %) obtained a large and centred field of binocular vision without prisms. 14 % (95 % CI, 0-29 %) had binocular vision with the use of prisms. Diplopia persisted in one patient despite 3 operations. Taking into consideration the interventions done before the patient was referred to us, the reintervention rate was 13 % (95 % CI, 0-28 %). CONCLUSIONS: A binocular field of vision can be successfully restored in the majority of patients with Graves' orbitopathy, using a non-adjustable surgical technique.
Keywords
Adult, Aged, Aged, 80 and over, Diplopia/etiology, Diplopia/surgery, Female, Graves Ophthalmopathy/complications, Graves Ophthalmopathy/surgery, Humans, Male, Middle Aged, Ophthalmologic Surgical Procedures/methods, Retrospective Studies, Treatment Outcome
Pubmed
Web of science
Create date
14/02/2010 17:40
Last modification date
20/08/2019 15:08
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