Auto-orbital decompression in ophthalmic graves' disease

P. Murray, P. Fells, B. Shine

Research output: Contribution to journalArticlepeer-review


A 41-year-old man with visual loss due to bilateral compressive optic neuropathy resulting from severe ophthalmic Graves' disease was found on presentation to have 'blow-out' fractures of both orbital floors. Five months earlier he had been involved in a minor road traffic accident and sustained a right orbital floor fracture. The greatly enlarged extraocular muscles and associated high intraorbital pressure resulted in a spontaneous left orbital floor fracture-an auto-orbital decompression. His right orbital floor fracture may also have occurred spontaneously prior to his accident or perhaps the floor was already sufficiently weakened that even minor trauma led to a fracture. Although auto-orbital decompression may have delayed the onset of visual loss it was not effective in relieving optic nerve compression, and systemic steroid therapy was required to improve vision.
Original languageEnglish
Pages (from-to)245-248
Issue number4
Publication statusPublished - 1989


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