SciELO - Scientific Electronic Library Online

vol.57 issue5Immunoglobulin E-rheumatoid factor in juvenile rheumatoid arthritisPrimary lymphoma of the liver treated by extended hepatectomy and chemotherapy: a case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista do Hospital das Clínicas

On-line version ISSN 1678-9903


FERREIRA, Marcus Castro et al. Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience. Rev. Hosp. Clin. [online]. 2002, vol.57, n.5, pp.217-222. ISSN 1678-9903.

PURPOSE: 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.

Keywords : Endocrine exophthalmos; Transpalpebral surgery; Orbital fat.

        · abstract in Portuguese     · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License