Surgical results of orbital decompression for malignant exophthalmos

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Abstract
The epidemiology, pathology, clinical classes, diagnostic techniques and surgical techniques employed, and the results in 220 patients who underwent transantral orbital decompression for malignant exophthalmos were presented. Reduction of proptosis up to 12 mm was obtained. In 80% of the patients the eyes were balanced within 1 mm. Complications were mininal. This procedure demonstrated its efficacy in the treatment of malignant exophthalmos. In most cases it enabled the preservation or improvement of vision and arrested the progressive extraocular muscle imbalance. The importance of close cooperation between otolaryngologist, endocrinologist and ophthalmologist cannot be overemphasized in the management of this disorder.