The Incidence of Diplopia Following Coronal and Translid Orbital Decompression in Graves' Orbitopathy

    September 1998 in “ Eye ”
    Dion Paridaens, K. M. Hans, S van Buitenen, Maarten P. Mourits
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    Studysummary This study observed that 19% of patients with Graves' orbitopathy experienced induced diplopia after orbital decompression, with high patient satisfaction reported following both coronal and translid approaches. Our plain-language summary of this paper — not a Tressless recommendation.
    In a retrospective analysis of 81 patients with Graves' orbitopathy who underwent orbital decompression surgery, the study found that the overall incidence of induced diplopia was 19%, with no significant difference between the coronal decompression (20% incidence) and translid decompression (14% incidence) groups. Postoperative strabismus surgery was required in 25% of patients, and high satisfaction scores were reported for both surgical approaches. The study highlighted the need for a standardized protocol for orthoptic evaluation to better compare outcomes between different decompression techniques. Factors such as pre-operative motility impairment were important in determining the incidence of diplopia.
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