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. http://dx.doi.org/10.1590/S0041-87812002000500005.
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.