Endoscopic decompresion of orbital cavity in the course of the Graves’ ophthalmophaty
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 5
Abstract
Thyroidorbithopaty is inflammatory disease against the autoimmune reaction. Clinical symptoms are connected withincreasing the volume of retrobulbar tissues. As a result of the autoimmune reaction is reaching to the blow-up, thickening extrabulbar muscles, of appearance of the swelling of the infl ammable body of the fat body and tear glands. Heightened retrobulbar pressure is leading to the exophthalmos of the eyeball. He can be a consequence of the exophthalmos insuffiency of eyelids, drying, ulcerations of the cornea. In external eyball muscles changes are leading to eyeball mobility limitation, the double vision, whereas the pressure on the optic nerve can be a reason of injuring it what next serious complications constitute thyroidorbitopathy. In the case active orbithopaty an immunosuppression is an essential way of curing. Disabled advanced form thyroidorbithopaty is a reading for curing applying treatment methods. Outside clinical symptoms among others fi ndings of CT, MR examinations are deciding using it. A treatment is one of methods of operating intranasal curing, of endoscopic decompression of the orbital cavity. Authors are showing the method of operating curing on the basis of the case ill around thyroid orbithopathy in the course of illness Graves- of Basedow with accompanying diabetes.
Authors and Affiliations
Wojciech Golusiński, Magdalena Kordylewska, Krzysztof Michałek, Ryszard Waśko, Jerzy Sowiński
Keywords
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