Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2022; 101(S 02): S243-S244
DOI: 10.1055/s-0042-1747034
Poster
Rhinology: Orbita

Bony orbital decompression for the treatment of pseudoexophthalmos in high myopia

Authors

  • Kerstin Stähr

    1   Universitätsklinikum Essen, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Essen

  • Anja Eckstein

    2   Universitätsklinikum Essen, Klinik für Augenheilkunde Essen

  • Stephan Lang

    1   Universitätsklinikum Essen, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Essen

  • Stefan Mattheis

    1   Universitätsklinikum Essen, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Essen

  • Anke Daser

    1   Universitätsklinikum Essen, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Essen
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Introduction Myopia leads to an elongation of the bulb (0.35mm/dpt), so that in cases of high-grade myopia a pseudoexophthalmos can occur. This causes severe sicca symptoms and movement-dependent pain due to the resulting lid closure defect.

Methods Four patients with pseudoexophthalmos in high myopia who underwent bony orbital decompression (two lateral, two balanced) were included. Postoperative exophthalmos reduction, ocular motility and possible side effects were investigated.

Results All patients showed good exophthalmos reduction. In patients with asymmetric initial findings, the symmetry of both eyes could be restored. The pre-existing squint angle was favourably influenced in three cases and worsened in one patient. Peri- and postoperative complications did not occur.

Discussion Pseudoexophthalmos due to high myopia can be successfully treated by bony orbital decompression.



Publikationsverlauf

Artikel online veröffentlicht:
24. Mai 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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