[Orbital decompression in graves disease: indications, techniques, results and complications].

BACKGROUND

The surgical rehabilitation of patients with Graves disease involves orbital decompression and various lid and extraocular muscle procedures.

METHODS

We have reviewed the literature and include a presentation of our own results.

RESULTS

The indications for orbital decompression include not only functional reasons (optic neuropathy, keratopathy, glaucoma, pain) but also aesthetic and psychosocial reasons without visual problems. Current techniques for orbital decompression (bone versus fat removal) are described and discussed. Results demonstrating a mean reduction of proptosis (4 - 6 mm) and complications (mainly diplopia in 3 - 12 %) are presented for coronal and transconjunctival approaches and compared with other methods.

CONCLUSION

Current techniques of orbital decompression are effective and safe and are therefore increasingly used not only for functional but also for aesthetic or "rehabilitative" indications.