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Grusha Y.O.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Krasnov Research Institute of Eye Diseases

Kolodina A.S.

Krasnov Research Institute of Eye Diseases

Kochetkov P.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Chetkarev K.V.

Krasnov Research Institute of Eye Diseases

Sviridenko N.Yu.

National Medical Research Center for Endocrinology

Outcomes of modified lateral orbital wall decompression using ultrasonic bone removal

Authors:

Grusha Y.O., Kolodina A.S., Kochetkov P.A., Chetkarev K.V., Sviridenko N.Yu.

More about the authors

Journal: Russian Annals of Ophthalmology. 2025;141(4): 21‑28

DOI: 10.17116/oftalma202514104121

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Table of contents

OUTCOMES OF MODIFIED LATERAL ORBITAL WALL DECOMPRESSION USING ULTRASONIC BONE REMOVAL
OUTCOMES OF MODIFIED LATERAL ORBITAL WALL DECOMPRESSION USING ULTRASONIC BONE REMOVAL

To cite this article:

Grusha YO, Kolodina AS, Kochetkov PA, Chetkarev KV, Sviridenko NYu. Outcomes of modified lateral orbital wall decompression using ultrasonic bone removal. Russian Annals of Ophthalmology. 2025;141(4):21‑28. (In Russ.)
https://doi.org/10.17116/oftalma202514104121

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

This study presents a comparative analysis of outcomes of lateral orbital wall decompression performed using ultrasonic bone removal with standard and modified techniques.

MATERIAL AND METHODS

The study included 78 patients (109 orbits) with exophthalmos without visual impairment (subgroups 1A and 1B) and with optic neuropathy (ON) due to thyroid eye disease (TED) (subgroups 2A and 2B). Lateral wall decompression (LWD) was performed using ultrasonic bone removal with a modified (n=58, patient subgroups 1A and 2A) or standard (n=51, subgroups 1B and 2B) technique. Postoperative evaluation included visual function, degree of exophthalmos, and palpebral fissure parameters.

RESULTS

In subgroup 1A, exophthalmos regression averaged 3.8±0.9 mm, while in subgroup 1B it amounted to 2.9±0.8 mm. Comparable improvement in visual acuity was observed in subgroups 2A and 2B, with a median gain of 0.4, along with positive changes in perimetry and color vision.

CONCLUSION

The modified LWD technique using ultrasonic bone removal achieved a mean exophthalmos reduction of approximately 4 mm. In cases complicated by ON, improvement in visual function was observed for up to 4 years.

Keywords:

ultrasonic bone removal
mechanical high-speed bone removal
lateral orbital decompression
thyroid eye disease

Authors:

Grusha Y.O.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Krasnov Research Institute of Eye Diseases

Kolodina A.S.

Krasnov Research Institute of Eye Diseases

Kochetkov P.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Chetkarev K.V.

Krasnov Research Institute of Eye Diseases

Sviridenko N.Yu.

National Medical Research Center for Endocrinology

Received:

28.01.2025

Accepted:

09.04.2025

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