Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Surgical management of endocrine ophthalmopathy: how to prevent complications
Author: Olha Prusak
ePoster Number: 263
Purpose
The aim of this study is to develop ways to prevent complications during orbital decompression based on the use of surgical guides in patients with endocrine ophthalmopathy.
Methods
We analyzed the results of EOP treatment between 17 patients, who underwent bone orbital decompression at the Kiev Regional Clinical Hospital in the period from 2017 to 2021. Based on CAD/CAM technology, surgical cutting guides were designed and manufactured for determination of the area of osteotomy, after which, using. The rate of post-surgical complications, as well as exophthalmos severity were evaluated.
Results
Preoperative exophthalmometry determined the average value of exophthalmos on the right – 23,71±2,98 mm, on the left side 23,41±3,87 mm (p= 1.000). Late postoperative complications ( follow-up period 3 months) were observed in the form of existing diplopia in one patient – 3.2% and hypoesthesia of the second branch of the trigeminal nerve in three patients – 9.7% from one side.After the surgery, the mean sagittal position of the eyeball on the right side decreased to 19,12±2,32 mm, the left side – to 19,18±2,96 mm (p=0.892). At the same time, comparing the results of exophthalmometry of the left and right sides, there was revealed the absence of a statistically significant difference between the studied parameters (р=0.000).
Conclusion
Based on our data, we can conclude that surgical decompression with application of surgical guides makes it possible to achieve a significant decrease in the degree of exophthalmos (on average by 4,38 mm), while reducing the area of bone resection, which causes a decrease in the risk of postoperative complications.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Alina | Slobodianiuk | Center of Maxillofacial Surgery and Dentistry of Kyiv Regional Clinical Hospital |
| Yuriy | Chepurny | Bogomolets Institute of Postgraduate Education of the National Medical University, Kiev, Ukraine |
| Andrii | Kopchak | Bogomolets Institute of Postgraduate Education of the National Medical University, Kiev, Ukraine |
| Oksana | Petrenko | National University of Health of Ukraine, Kiev, Ukraine |
| Inna | Lapkina | City Clinical Hospital № 14 named after prof. L.L. Hirshman “of the Kharkiv city council |
Abstract ID: 21-164