Residual Apical Lamina Papyracea as a Cause for Persistent Dysthyroid Optic Neuropathy After Orbital Decompression

被引：1

作者：

Gupta, Ankur ^{[1
]}

Garcia, Maria D. ^{[2
]}

North, Victoria ^{[2
]}

Kazim, Michael ^{[2
]}

Rose, Geoffrey E. ^{[1
,3
]}

机构：

[1] Moorfields Eye Hosp, Adnexal Serv, London, England

[2] Columbia Univ, Edward S Harkness Eye Inst, Div Oculoplast & Orbital Surg, New York, NY USA

[3] Moorfields Eye Hosp NHS Fdn Trust, Adnexal Serv, City Rd, London EC1V 2PD, England

来源：

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY | 2023年 / 39卷 / 02期

关键词：

D O I：

10.1097/IOP.0000000000002290

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Two patients had persistent compressive dysthyroid optic neuropathy after decompression of the medial orbital wall and floor. In both cases, there was similar to 3 mm of unresected lamina papyracea anterior to the Annulus of Zinn, and removal of this residual bone led to resolution of the neuropathy. These illustrative cases suggest that, in some patients, even small amounts of residual crowding at the orbital apex can critically embarrass optic nerve perfusion, with resulting continued ischemic optic neuropathy.

引用

页码：E37 / E40

页数：4

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