1. High Voltage Orbital Radiotherapy and Surgical Orbital Decompression in the Management of Graves’ Ophthalmopathy
- Author
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René Mornex, François Berthezène, Jacques Orgiazzi, Pierre Pigeon, Jean Pierre Haguenauer, and Jean Pierre Gerard
- Subjects
medicine.medical_specialty ,Eye Diseases ,Exophthalmos ,business.industry ,Endocrinology, Diabetes and Metabolism ,Orbital decompression ,Orbital radiotherapy ,medicine.disease ,Graves Disease ,eye diseases ,Surgery ,Radiotherapy, High-Energy ,Graves' ophthalmopathy ,Endocrinology ,medicine ,Humans ,medicine.symptom ,business ,Orbit - Abstract
We report on 2 groups of patients with Graves' ophthalmopathy. A group of 21 patients was treated by high voltage (18 MV) orbital radiotherapy combined with mean doses of corticoids. The results were good or excellent in 12 patients (mean score 6.62 before and 4.0 after, soft tissues greater than proptosis greater than extraocular muscle involvement), without any complications from irradiation. Patients undergoing surgery initially presented less severe symptoms, even 7 patients treated after corticoid and/or radiotherapy failure. The results were satisfactory in all patients (mean score 5.1 before and 2.4 after, proptosis greater than soft tissues greater than extraocular muscle involvement). Both methods showed results within 3 months, and they can be combined.
- Published
- 1987
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