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Full-Thickeness Anterior Blepharotomy and Transpalpebral Fat Decompression in Graves’ Orbitopathy

Croatian Anthropological Society; [email protected]
  • Graves’ Orbitopathy
  • Blepharotomy
  • Fat Decompression


A chief morbidity of Graves eye disease is eyelid retraction and exophthalmus. Transpalpebral orbital fat removal accomplished with full thickness anterior blepharotomy was performed in 4 patients (5 orbits). Preoperative and postoperative ocular exposure symptoms, visual acuity, upper eyelid retraction and proptosis were evaluated. In all 5 operated orbits preoperative symptoms resolved; good results were achieved from the functional and cosmetic point of view. Full-thickness anterior blepharotomy combined with fat decompression is a safe and effective surgery for patients with upper eyelid retraction and exophthalmus due to enlarged orbital fat compartment.

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