[Part of inferomedial orbital wall removal under nasal endoscope for malignant hyperthyroid exophthalmos].

OBJECTIVE

To investigate the surgical method of inferomedial orbital decompression under nasal endoscope for malignant hyperthyroid exophthalmos and surgical effect.

METHOD: Twenty one cases (27 eyes) of malignant hyperthyroid exophthalmos with poor visual function and appearance received part of inferomedial orbital wall excision.

RESULT: The patients were followed up for 6 to 12 months after surgery. Ocular protrusion recessed 2-6 mm and averaged 4.85 mm in all cases. Visual acuity increased in 17 eyes, remained the same in 9 eyes and decreased in 1 eye. Diplopia appeared in 5 cases after surgery and disappeared in 3 months.

CONCLUSION

Part of inferomedial orbital wall excision under nasal endoscope has the advantage of clear visual field, accurate excision, little hurt and complications. It is an effective method for malignant hyperthyroid exophthalmos.