What Is Exophthalmos Surgery?

Preoperative diagnosis of orbital correction (goldfish eye). The most prominent bilateral non-inflammatory eyeballs are endocrine exophthalmos, followed by hematopoietic tumors, green tumors.

Eyeball Correction

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Preoperative diagnosis of orbital correction (goldfish eye). The most prominent bilateral non-inflammatory eyeballs are endocrine exophthalmos, followed by hematopoietic tumors, green tumors.

Chinese name

Eyeball Correction

Foreign name

Exophthalmos surgery

Preoperative diagnosis of orbital correction (goldfish eye). The most prominent bilateral non-inflammatory eyeballs are endocrine exophthalmos, followed by hematopoietic tumors, green tumors. Rare cases such as congenital orbital deformities (acuity). Bilateral inflammatory eyeballs are seen in pseudotumors and cavernous sinus thrombosis. Unilateral inflammatory eyeballs are seen in orbital cellulitis, orbital periostitis, pancreatitis, pseudotumor, and lacrimal gland inflammation. Unilateral non-inflammatory eyeballs are more common in intraorbital tumors. Including benign and malignant. Malignant patients develop rapidly and painful, edema of the eyelid and bulbar conjunctiva, eye movement can be restricted early, and local lymphadenopathy.

Measurement of the protrusion of the device inspection ball

Eyeball protrusion refers to the vertical distance between the apex of the cornea and the line connecting the outer edges of the orbits on both sides. Can be measured with Hertel (Medical Measuring Instrument) Eyeball Meter.

Image inspection

X-ray examination can understand changes in bones and changes in the orbital cavity and optic nerve tube. Benign tumors can increase orbital enlargement, bone hyperplasia, or absorption due to long-term elevated orbital pressure. Bone destruction suggests malignancy. Plain films with calcified plaques are found in retinoblastoma, hemangiomas, and meningiomas. The enlargement of the optic foramen indicates that the retinoblastoma has metastasized into the skull through the optic nerve. Optic glioma or optic sheath meningiomas can also have this manifestation. Ultrasound has better soft tissue resolution. Can show intraorbital fat, optic nerve, extraocular muscles and superior eye veins. Such as multiple extraocular muscle hypertrophy, more echo in the muscle, often GraVes disease. The presence of weak echoes or non-echoes in strong echoes can be used as diagnostic criteria for tumors. CT scans have higher density and spatial resolution. Intraorbital lesions such as tumors, inflammation, and vascular malformations all show high-density shadows, and intraocular, intraorbital, and periorbital structures can be displayed. Magnetic resonance imaging is basically the same as CT, and its soft tissue resolution is better than CT. r camera scintigraphy and ECT can observe the metabolic process of cell absorption, utilization and excretion of nuclide, but due to the poor selectivity of each lesion to the absorbed nuclide, it is rarely used except for detecting metastatic cancer. DSA selective angiography is an indispensable examination method for diagnosing arteriovenous leanness and observing the blood supply status of tumors.

1. Enlarge the volume of the orbit : Destroy the bone fragments around the orbit to allow the fat tissue around the eyeball to overflow to the hole, thereby causing the effect of eyeball contraction. This surgical method is suitable for cases with severe eyeball protrusion.

2. Reduction of orbital contents: It is mainly used for patients with less severe eyeball protrusions. The surgical method is to reduce the fat in the deep orbit while minimizing the upper eyelid or lower eye bag, thereby increasing the inside of the orbit. , Let the eyeball move freely, the eyeball naturally retracts inward.

1. Before removing the suture after surgery, be careful not to wet the wound when washing your face. Keep the wound clean and hygienic to prevent infection.

2. Within 24 hours after the operation, a cold pack can be applied locally to prevent secondary bleeding from the wound and reduce edema. If the bleeding does not stop, you should return to the hospital in time.

3. After the operation, there should be a quiet and comfortable environment with fresh air circulation to avoid the head position being too low and increasing the swelling of the wound. On the day of surgery, the wound will be a little painful, but it will gradually decrease over time. Do not rush to take painkillers, as aspirin drugs can aggravate wound bleeding.

4, in the diet should increase the amount of protein intake, while eating more fruits and fresh vegetables to promote wound healing.

5. The suture was removed 5-7 days after the operation. One day after the thread is removed, a local hot compress can be applied to promote the edema to subside as soon as possible.