Surgical orbit decompression in patients with endocrine ophtalmopathy (review)
https://doi.org/10.17650/1683-3295-2020-22-2-90-97
Abstract
The article presents the definition and the epidemiology of endocrine ophthalmopathy. The main clinical manifestations of endocrine ophthalmopathy and the principles of treatment are described. Particular attention is paid to listing all possible methods of surgical decompression of the orbit, both internal and external. A comparative analysis of the available methods of orbitotomy, their advantages and disadvantages is presented. The main factors of the efficiency of orbit decompression, possible complications and measures for their prevention are analyzed. The paper also highlights the methods of treatment of optical neuropathy and predicting the results of surgical decompression of the orbit.
About the Authors
A. A. KalandariRussian Federation
Bld. 1, 20Delegatskaya St., Moscow 127473
O. V. Levchenko
Russian Federation
Bld. 1, 20Delegatskaya St., Moscow 127473
References
1. Fung S., Mallhotra R., Selva D. Thyroid orbitopathy. Aust Fam Physician 2003;32(8):615—20.
2. Brovkina A.F., Zhukova O.D. Endocrine myopathy is one of the clinical forms of endocrine ophthalmopathy. Prakticheskaya meditsina = Practical Medicine 2016;(2-1):17—21. (In Russ.).
3. Nagy E., Toth J., Kaldi I. et al. Graves’ ophthalmopathy: eye muscle involvement in patients with diplopia. Eur J Endocrinol 2000;142(6):591 —7. DOI: 10.1530/eje.0.1420591.
4. Alp M.N., Ozgen A., Can I. et al. Color Doppler imaging of the orbital vasculature in Graves’ disease with computed tomographic correlation. Br J Ophthalmol 2000;84(9):1027—30. DOI: 10.1136/bjo.84.9.1027.
5. Bartley G.B., Fatourechi V., Kadrmas E.F. et al. Clinical features of Graves’ ophthalmopathy in an incidence cohort. Am J Ophthalmol 1996;121(3):284—90.
6. Zhyzhneuskaya S., Addison C., Tsatlidis V. et al. The natural history of subclinical hyperthyroidism in Graves’ disease: the rule of thirds. Thyroid 2016;26(6):765—9.
7. Werner S.C. Classification of the eye changes of Graves’ disease. Am J Ophthalmol 1969;68(4):646—8. DOI: 10.1016/0002-9394(69)91246-x.
8. Li H.X., Xiang N., Hu W.K., Jiao X.L. Relation between therapy options for Graves’ disease and the course of Graves’ ophthalmopathy: a systematic review and meta-analysis. J Endocrinol Invest 2016;39(11):1225—33. DOI: 10.1007/s40618-016-0484-y.
9. Orgiazzi J. Pathogenesis Graves’ orbitopathy: a multidisciplinary approach. Eds.: W.M. Wiersinga, G.J. Kahaly. Basel: Karger, 2007.
10. Zang S., Ponto K.A., Kahaly G.J. Clinical review: intravenous glucocorticoids for Graves’ orbitopathy: Efficacy and morbidity. J Clin Endocrinol Metab 2011;96(2):320—32. DOI: 10.1210/jc.2010-1962.
11. Satoh T., Isozaki O., Suzuki A. et al. Guidelines for the management of thyroid storm from the Japan Thyroid Association and Japan Endocrine Society (first edition). Endocr J 2016;63:1025-64. DOI: 10.1507/endocrj.EJ16-0336.
12. Melcescu E., Horton W.B., Kim D. et al. Graves orbitopathy: update on diagnosis and therapy. South Med J 2014;107(1):34—43. DOI: 10.1097/SMJ.0000000000000038.
13. Platt M.P., Metson R. Endoscopic management of exophthalmos. Facial Plast Surg 2009;25(1):38—42. DOI: 10.1055/s-0028-1112230.
14. Olivari N. Endocrine Ophthalmopathy with contributions. Transpalpebral decompression by removal of intraorbital fat surgical treatment. Heidelberg: Kaden, 2001. 122 р.
15. Olivari N. Transpalpebral decompression of endocrine ophthalmopathy (Graves’ disease) by removal of intraorbital fat: experience with 147 operations over 5 years. Plast Reconstr Surg 1991;87(4):627—41.
16. Trokel S., Kazim M., Moore S. Orbital fat removal: decompression for Graves orbitopathy. Ophthalmology 1993;100(5):674—82. DOI: 10.1016/s0161-6420(93)31589-7.
17. Adenis J.P., Camezind P., Robert P.-Y. et al. Is incidence of diplopia after fat removal orbital decompression a predictive factor of choice of surgical technique for Graves’ ophthalmopathy? Bull Acad Natl Med 2003;187(9):1649—60.
18. Sires B.S., Lemke B.N., Dortzbach R.K., Gonnering R.S. Characterization of human orbital fat and connective tissue. Ophthalmic Plastic Reconstr Surg 1998;14(6):403—14. DOI: 10.1097/00002341-199811000-00004.
19. Prat M.C., Braunstein A.L., Dagi Glass L.R., Kazim M. Orbital fat decompression for thyroid eye disease: retrospective case review and criteria for optimal case selection. Ophthal Plast Reconstr Surg 2015;31(3):215—8. DOI: 10.1097/IOP.0000000000000260.
20. Chu E.A., Miller N.R., Grant M.P. et al. Surgical treatment of dysthyroid orbitopathy. Otolaryngol Head Neck Surg 2009;141(1):39—45. DOI: 10.1016/j.otohns.2009.04.004.
21. Woo K.I., Kim Y.-D. Isolated caruncular approach for orbital decompression. Jpn J Ophthalmol 2004;48(4):397—403. DOI: 10.1007/s10384-004-0073-z.
22. Kalmann R., Mourits M.P., van der Pol J.P., Koornneef L. Coronal approach for rehabilitative orbital decompression in Graves’ ophthalmopathy. Br J Ophthalmol 1997;81(1):41—5. DOI: 10.1136/bjo.81.1.41.
23. Paridaens D., Hans K., van Buitenen S., Mourits M.P. The incidence of diplopia following coronal and translid orbital decompression in Graves’ orbitopathy. Eye (Lond) 1998;12(5):800—5. DOI: 10.1038/eye.1998.207.
24. Pospisil O.A., Fernando T.D. Review of the lower blepharoplasty incision as a surgical approach to zygomatic-orbital fractures. Br J Oral Maxillofac Surg 1984;22(4):261—8. DOI: 10.1016/0266-4356(84)90082-2.
25. Dollinger J. Die drickentlastlung der augen-hokle durch entfurnung der ausseren orbitalwand bei hochgradiegen exophthalmos und konsekutwer hornhauterkronkung. Deutsche Medizinische Wochenschrift 1911;37:1888—90.
26. Moran R.E., Letterman G.S., Schurter M.A. The surgical correction of exophthalmos. History, technique, and long-term follow-up. Plastic Reconstr Surg 1972;49(6):595—608. DOI: 10.1097/00006534-197206000-00001.
27. Mainville N.P., Jordan D.R. Effect of orbital decompression on diplopia in thyroid-related orbitopathy. Ophthalmic Plast Reconstr Surg 2014;30(2):137—40.
28. Converse J.M., Firmin F., Wood-Smith D., Friedland J.A. The conjunctival approach in orbital fractures. Plast Reconstr Surg 1973;52(6):656—7. DOI: 10.1097/00006534-197312000-00010.
29. Kennedy D.W., Goodstein M.L., Miller N.R., Zinreich S.J. Endoscopic transnasal orbital decompression. Arch Otolaryngol Head Neck Surg 1990;116(3): 275—82. DOI: 10.1001/archotol.1990.01870030039006.
30. Schaefer S.D., Merritt J.H., Close L.G. Orbital decompression for optic neuropathy secondary to thyroid eye disease. Laryngoscope 1988;98(7):712—6. DOI: 10.1288/00005537-198807000-00004.
31. Naik M., Nair A., Gupta A., Kamal S. Minimally invasive surgery for thyroid eye disease. Indian J Ophalmol 2015;63(11):847—53. DOI: 10.4103/0301-4738.171967.
32. Metson R., Pletcher S.D. Endoscopic orbital and optic nerve decompression. Otolaryngol Clin North Am 2006;39(3):551—61. DOI: 10.1016/j.otc.2006.01.004.
33. Schaefer S.D., Soliemanzadeh P., Della Rocca D.A. et al. Endoscopic and transconjunctival orbital decompression for thyroid-related orbital apex compression. Laryngoscope 2003;113(3):508—13. DOI: 10.1097/00005537-200303000-00021.
34. Anderson R.L., Linberg J.V. Transorbital approach to decompression in Graves’ disease. Arch Ophthalmol 1981;99(1):120—4. DOI: 10.1001/archopht.1981.03930010122016.
35. Liao S.-L., Shih M.-J., Chang T.-C., Lin L.L.-K. Transforniceal lateral deep bone decompression — a modified technique to prevent postoperative diplopia in patients with disfiguring exophthalmos due to dysthyroid orbitopathy. J Formos Med Assoc 2006;105(8):611—6. DOI: 10.1016/S0929-6646(09)60159-5.
36. Perry J.D., Kadakia A., Foster J.A. Transcaruncular orbital decompression for dysthyroid optic neuropathy. Ophthalmic Plast Reconstr Surg 2003;19(5):353—8. DOI: 10.1097/01.IOР.0000083645.19368.99.
37. Calcaterra T.C., Hepler R.S. Antral-ethmoidal decompression in Graves’ disease. Five-year experience. West J Med 1976;124(2):87—91.
38. She Y.Y., Chi C.C., Chu S.T. Transnasal endoscopic orbital decompression:15-year clinical experience in southern taiwan. J Formos Med Assoc 2014;113(9):648—55. DOI: 10.1016/j.jfma.2012.08.009.
39. Badilla J., Dolman P.J. Intracranial hemorrhage complicating an orbital decompression. Orbit 2008;27(2):143-5. DOI: 10.1080/01676830701563695.
40. McCormick C., Bearden W.H., Hunts J.H. et al. Cerebral vasospasm and ischemia after orbital decompression for graves ophthalmopathy. Ophthal Plast Reconstr Surg 2004;20(5):347-51. DOI: 10.1097/01.iop.0000134248.64325.c7.
41. McCord C.D.Jr., Putnam J.R., Ugland D.N. Pressure-volume orbital measurement comparing decompression approaches. Ophthalmic Plast Reconstr Surg 1985;1(1):55-63. DOI: 10.1097/00002341-198501000-00009.
42. Finn A.P., Bleier B., Cestari D.M. et al. A retrospective review of orbital decompression for thyroid orbitopathy with endoscopic preservation of the inferomedial orbital bone strut. Ophthalmic Plast Reconstr Surg 2017;33(5):334—9. DOI: 10.1097/IOР.0000000000000782.
43. Goldberg R.A., Shorr N., Cohen M.S. The medial orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy. Ophthalmic Plast Reconstr Surg 1992;8(1):32-4. DOI: 10.1097/00002341-199203000-00005.
44. Metson R., Samaha M. Reduction of diplopia following endoscopic orbital decompression: the orbital sling technique. Laryngoscope 2002;112(10):1753-7. DOI: 10.1097/00005537-200210000-00008.
45. Borumandi F., Hammer B., Kamer L., von Arx G. How predictable is exophthalmos reduction in Graves’ orbitopathy? A review of the literature. Br J Ophthalmol 2011;95(12):1625-30. DOI: 10.1136/bjo.2010.181313.
46. Garrity J.A., Fatourechi V., Bergstralh E.J. et al. Results of transantral orbital decompression in 428 patients with severe Graves’ ophthalmopathy. Am J ophthalmol 1993;116(5):533-47. DOI: 10.1016/s0002-9394(14)73194-0.
47. DeSanto L.W. The total rehabilitation of Graves’ ophthalmopathy. Laryngoscope 1980;90(10 Pt 1):1652-78.
48. Fatourechi V., Garrity J.A., Bartley G.B. et al. Graves ophthalmopathy. Results of transantral orbital decompression performed primarily for cosmetic indications. Ophthalmology 1994;101(5):938-42.
49. Leong S.C., Karkos P.D., Macewen C.J., White P.S. A systematic review of outcomes following surgical decompression for dysthyroid orbitopathy. Laryngoscope 2009;119(6):1106—15. DOI: 10.1002/lary.20213.
50. Nunery W.R., Nunery C.W., Martin R.T. et al. The risk of diplopia following orbital floor and medial wall decompression in subtypes of ophthalmic Graves’ disease. Ophthalmic Plast Reconstr Surg 1997;13(3):153-60. DOI: 10.1097/00002341-199709000-00001.
51. Sellari-Franceschini S., Berrettini S., Santoro A. et al. Orbital decompression in Graves’ ophthalmopathy by medial and lateral wall removal. Otolaryngol Head Neck Surg 200 5;133(2):185—9. DOI: 10.1016/j.otohns.2005.02.006.
52. Naffziger H.C. Progressive exophthalmos associated with disorders of the thyroid gland. Ann Surg 1938;108(4):529-44. DOI: 10.1097/00000658-193810000-00005.
53. Goldberg R.A., Kim A.J., Kerivan K.M. The lacrimal keyhole, orbital door jamb, and basin of the inferior orbital fissure. Arch Ophthalmol 1998;116(12):1618-24. DOI: 10.1001/archopht.116.12.1618.
54. Cho R.I., Choe C.H., Elner V.M. Ultrasonic bone removal versus highspeed burring for lateral orbital decompression: comparison of surgical outcomes for the treatment of thyroid eye disease. Ophthalmic Plast Reconstr Surg 2010;26(2):83—7. DOI: 10.1097/IOP.0b013e3181b8e614.
55. Choe C.H., Cho R.I., Elner V.M. Comparison of lateral and medial orbital decompression for the treatment of compressive optic neuropathy in thyroid eye disease. Ophthalmic Plast Reconstr Surg 2011;27(1):4-11. DOI: 10.1097/IOP.0b013e3181df6a87.
56. Nguyen J., Fay A., Yadav P. et al. Stereotactic microdebrider in deep lateral orbital decompression for patients with thyroid eye disease. Ophthalmic Plast Reconstr Surg 2014;30(3):262—6. DOI: 10.1097/IOP.0000000000000132.
57. Mehta P., Durrani O.M. Outcome of deep lateral wall rim-sparing orbital decompression in thyroid-associated orbitopathy: a new technique and results of a case series. Orbit 2011;30(6):265—8. DOI: 10.3109/01676830.2011.603456.
58. Bartalena L., Fatourechi V. Extrathyroidal manifestations of Graves’ disease: a 2014 update. J Endocrinol Invest 2014;37(8): 691-700. DOI: 10.1007/s40618-014-0097-2.
59. Bingham C.M., Harris M.A., Vidor I.A. et al. Transcranial orbital decompression for progressive compressive optic neuropathy after 3-wall decompression in severe Graves’ orbitopathy. Ophthalmic Plast Reconstr Surg 2014;30(3):215-8. DOI: 10.1097/IOP.0000000000000052.
Review
For citations:
Kalandari A.A., Levchenko O.V. Surgical orbit decompression in patients with endocrine ophtalmopathy (review). Russian journal of neurosurgery. 2020;22(2):90-97. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-2-90-97