Comparative investigation of compression optic neuropathy of Grvaves orbitopahty (GO) as emergency orbital decompression

Abstract

PurposeTo investigate pre‐operative clinical feature of Compression optic neuropathy of Grvaves orbitopahty(GO), which had necessities of emergency surgery as orbital decompression.DesignRetrospective,observational,case‐control study.MethodsSetting single institution. Patient population: Sevanty‐two patients were performed orbital decompression as treatment of proptosis and compression optic neuropathy with GO. Observational procedures: the following were considered potential pre‐operative clinical factors for emergency orbital decompression: patients's sex, patients's age, Disease duration, laterality of GO, laterality of surgery, treatment history of resistance of steroid pulse therapy, thyroid function, visual acuity, existence of central diplopia, asymmetry of proptosis, psychological history,smoking. Main outcome: potential pre‐operative clinical factors for emergency orbital decompressionResultsWomen,high age, long Disease duration, laterality of GO, laterality of surgery, treatment history of resistance of steroid pulse therapy, unstable thyroid function, poor visual acuity, existence of centraldiplopia significantly influenced necessities of emergency surgery as orbital decompression(p < .050). The other itmes did not significantly influence necessities of emergency surgery as orbital decompression(p > .050)ConclusionsThis study revealed potential pre‐operative clinical factors of Compression optic neuropathy of Grvaves orbitopahty(GO), which had necessities of emergency surgery as orbital decompression. This results will be helpful and deeply meaningful for physician, managing GO, planning additional surgical options