Abstract
For patients presenting with non-thyroid related, non-infectious orbital and eyelid inflammation, acute surgical management mainly focuses on obtaining representative tissue biopsies for histological diagnosis after vascular nature of the lesions have been safely ruled out. However, in selected cases, surgical debulking, incision and curettage, /or intra-/perilesional steroid injection may not only improve acute inflammatory changes but also serve as a definite treatment. While lateral canthotomy and cantholysis should be performed in patients with compartment syndrome, surgical decompression may occasionally be necessary in eyes with compressive optic neuropathies failing intensive medical treatments. Tarsorrhaphy and/or skin graft may be required for eyes with corneal breakdown secondary to lagophthalmos and chemosis.
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Chong, K.Kl. (2017). Acute Surgical Management of Non-thyroid related, Non-infectious Orbital and Lid Inflammation. In: Mukherjee, B., Yuen, H. (eds) Emergencies of the Orbit and Adnexa. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1807-4_31
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DOI: https://doi.org/10.1007/978-81-322-1807-4_31
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