Korneale Dellen bei konjunktivaler Chemose im Anschluss an eine transkonjunktivale Orbitadekompression

Abstract

Transconjunctival orbital decompression ("swinging eyelid technique") nowadays is the technique of choice for the reduction of proptosis in Graves' orbitopathy. Here, we present the first report of two patients who developed corneal dellen secondary to conjunctival chemosis following swinging eyelid decompression. Two female patients, 38 and 52 years old, underwent transconjunctival orbital decompression in 2006. Postoperatively, they developped corneal dellen secondary to conjunctival chemosis. The dellen and the chemosis completely regressed after intensive topical and oral therapy. Corneal dellen represent a potential cause of postoperative pain following transconjunctival orbital decompression.