Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
Keywords:Endocrine exophthalmos, Transpalpebral surgery, Orbital fat
AbstractPURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.
How to Cite
Ferreira, M. C., Tuma Jr., P., Costa, M. P., Bloise, W., & Alves, C. A. R. (2002). Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience . Revista Do Hospital Das Clínicas, 57(5), 217-222. https://doi.org/10.1590/S0041-87812002000500005