眼眶平衡减压术治疗甲状腺相关眼病

目的 探讨平衡眼眶减压术治疗甲状腺相关眼病的疗效和手术方法。方法 采用内外壁眼眶减压术治疗20例35眼甲状腺相关眼病患者。术后随访平均14个月。观察术后视力、眼球突出度和眼球运动等情况。结果 20例35眼中除1例行眶外壁减压外，其余均行内外壁平衡眼眶减压术。眼球突出度缓解3～11mm，其中3～4mm者5眼，5～9mm者28眼，10～11mm者2眼，平均6．32mm。视力从术前数指提高至0．1者6眼，提高2行以上者8眼，无变化21眼。术后眼球运动明显好转者9眼，运动障碍加重2眼。无视力丧失及术后感染。结论 平衡眼眶减压术是治疗甲状腺相关眼病的有效方法。

Balanced orbital decompression for thyroid-associated ophthalmopathy

Objective To evaluate the effectiveness and surgical skill of balanced orbital decompression for thyroid-associated ophthalmopathy. Methods Thirty-five eyes with thyroid-associated ophthalmopathy were followed for an average of 14 months after balanced orbital decompression. Results Thirty-four eyes with thyroid-associated ophthalmopathy received balanced orbital decompression via orbital internal and external wall,and 1 case(1 eye) for only external orbital wall decompression.Exophthamos lessen by a mean of 6.3 mm following operation.Vision acuity was improved in 14 eyes and unchanged in 21 eyes.No visual loss and infection was found during the follow-up period. Conclusion Balanced orbital decompression is an effective method for thyroid-associated ophthalmopathy.