Transpalpebral Decompression of Endocrine Ophthalmopathy by Intraorbital Fat Removal (Olivari Technique): Experience and Progression after More than 3000 Operations over 20 Years

Abstract

Transpalpebral decompression has proved to be reliable, effective, and safe, with good, lasting results leading to an improvement not only in visual function but also in the patient's personal well-being and social life, with a high-benefit-to-low-risk ratio.

Orbital Decompression for the Treatment of Spontaneous Globe Luxations

“…16 As these patients can associate extraocular muscles variations, 17 a balanced orbital decompression may be more suitable, to minimize the displacement of the ocular axis. Despite the fact that some surgeons advocate for fat decompression in cases of orbital fat hypertrophy, 18 in our experience, the result is less predictable than with bone decompression.…”

Launois–Bensaude syndrome involving the orbits

“…Although the presentation of the proptosis in this case was similar to a Graves' orbitopathy, the volume of fat excised here was higher than the average 6 ml of resected orbital fat in Graves' orbitopathy (Olivari, 1988, Richter et al, 2007. In our case proptosis reduction was 7 mm for both eyeballs.…”

The human superior tarsal muscle (Müller’s muscle): a morphological classification with surgical correlations

“…Pathological changes of the STM are well-recognized as being clinically associated with upper eyelid retraction in Graves ophthalmopathy (GO), with a 4:1 female-to-male ratio (Richter et al 2007). Our results on sexual differences in STM morphological patterns may help explain such a high prevalence of GO in women.…”