Clinical Study

Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves’ Orbitopathy

Table 2

(a) Detailed characteristics of patients whose Gorman score improved after decompression surgery. In patients who underwent bilateral orbital decompression “a” refers to the right orbit and “b” to the left orbit. (b) Detailed characteristics of patients whose Gorman score worsened after decompression surgery. Three patients experienced worsening of elevation and two patients had deteriorations in horizontal motility. In patients who underwent bilateral orbital decompression “a” refers to the right orbit and “b” to the left orbit.
(a)

Patient numberGorman score before surgeryGorman score after surgerySubsequent strabismus surgery

1a3 1None
1b31None
2a31None
2b31None
321None
4a32None, only rare intermittent diplopia
4b32None, only rare intermittent diplopia
5a43None, satisfactory field of binocular single vision after surgery of left eye
5b43Inferior/internal rectus recession
621None
731None
831None
932None, only rare intermittent diplopia
1031None

(b)

Patient numberGorman score before surgeryGorman score after surgerySubsequent strabismus surgery

113None
214Inferior muscle recession
3a13Faden procedure (lateral rectus muscle)
3b13Faden procedure (lateral rectus muscle)
413, probably not due to surgeryInferior muscle recession
513None