Endocrine Obitopathy: a Personalized Approach to Patient Сare

Abstract

Background. This article highlights the main approaches to the treatment of patients with endocrine orbitopathy (EO) and current opportunities for planning and conducting personalized orbital decompression, including the use of Computer-Aided Design (CAD) / Computer-Aided Manufacturing (CAM) technologies. Optimization of treatment of this pathology which can lead to changes in appearance, inability to perform usual work, social isolation, and in the most difficult cases to vision loss is a topical issue of ophthalmology and maxillofacial surgery. The aim. To analyze current information on basic approaches to the treatment of patients with endocrine orbitopathy and the possibility of using computer technologies for planning and performing personalized orbital decompression. Results. The use of corticosteroids, radiation therapy, surgical treatment are the key methods used to manage patients with EO. The use of CAD/CAM technologies allows to plan surgery according to the morphological features of the orbit of each patient. This can potentially affect the outcome of decompression and reduction of exophthalmos, as well as intraoperative complications. When using standard approaches, the results of decompression may vary significantly due to the differences in morphological parameters of the orbits. This dictates the need for a personalized approach to the management of patients with EO. Due to the significant variability of morphological parameters of the orbits in the case of standard approaches, the results in different patients can differ significantly, which dictates the need for a personalized approach to the management of patients with EA. Conclusions. EUGOGO 2016 recommends a multidisciplinary step-by-step approach to the management of patients with EO, depending on its activity and severity and the impact on the patient’s quality of life. A personalized approach using computer simulations and the development of surgical navigation templates for surgical decompression of the orbit will ensure optimal functional and aesthetic treatment results. Keywords: endocrine orbitopathy, treatment, orbital decompression, ComputerAided Design (CAD) / Computer-Aided Manufacturing (CAM) technologies, personalized approach.