Hotelbuchung
Hotel Registration
Grußwort
Welcome address
Beteiligte Gesellschaften
Societies involved
DOG Information
DOG Information
Eröffnung des Kongresses
Opening Ceremony
Preise
Awards
Ablauf der Tagung 2003
General overview of congress
Lageplan der Räumlichkeiten
Map of Congress Center
Wissenschaftliche Themen
Scientific topics
Symposien
Symposia
Wissenschaftliches Programm
Scientific program
Posterpräsentationen
Poster Presentation
Kurse
Courses
Begleitende Veranstaltungen
Accompanying program
Arbeitssitzungen
Working sessions
Rahmenprogramm
Social program
Allgemeine Informationen
General Information
Autorenindex
Index of Authors
Industrieaussteller
Commercial exhibitors
Sponsoren
Sponsors
Impressum
DOG Homepage
Abstract
Abstract
Risk Factors Associated with Post-operative Squint after Decompression Surgery for Graves Ophthalmopathy
Pitz S.1, Eha J.1, Krummenauer F.2, Mann W.3, Kahaly G.4
1Augenklinik, 2Institut für Medizinische Biometrie, Epidemiologie und Informatik, 3Hals- Nasen-Ohrenklinik, 4Klinik für Innere Medizin mit Schwerpunkt Endokrinologie und Stoffwechselerkrankungen der Johannes Gutenberg-Universität, Mainz
Purpose: Post-operative squint is a major complication after decompression surgery for graves ophthalmopathy. It has severe implications for the every day life of the affected patients, as it may prevent activities such as driving car or working. Therefore, we were interested in identifying factors allowing an assessment of this risk in our patients.
Method: 57 patients underwent a simultaneous transethmoidal removal of the medial orbital wall as well as a transpalpebral removal of orbital fat. All of them had their eyes aligned prior to decompression surgery. They were investigated according to a standardized protocol prior to, 3 to 6 months after decompression surgery as well as prior to an eventual squint surgery.
Results: 22/57 patients developed post-operative misalignment necessitating squint surgery. These had in a significantly higher percentage already exhibited a motility impairment (<35° monocular duction) prior to decompression (82%vs. 46%; p=0.005). Surgically induced motility impairment was more pronounced in patients with lesser pre-operative restriction.