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Krankheitsbedingt kommt es zu einer entz\u00fcndlichen Schwellung der Orbitaweichteile. Die Behandlung erfolgt meist konservativ. Bei schweren F\u00e4llen mit beeintr\u00e4chtigendem Exophthalmus oder akuter, steroidrefrakt\u00e4rer Visusbedrohung kann eine chirurgische Orbitadekompression die Beschwerden der Patienten lindern oder das Sehverm\u00f6gen erhalten. Ein wesentlicher Aspekt der Versorgungsqualit\u00e4t besteht in der Vermeidung postoperativer Doppelbilder.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Erfahrungs- und Ergebnisbericht von 100 chirurgischen Orbitadekompressionen bei 62 Patienten an einem interdisziplin\u00e4ren Orbitazentrum. Patienten mit Kompression der Orbitaspitze wurden mittels pterionaler Dekompression behandelt. Patienten ohne Hinweise auf Orbitaspitzenbeteiligung wurden mittels tiefer lateraler Wandresektion oder pterionaler Dekompression behandelt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Retrospektive Datenanalyse.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die mittlere Exophthalmusreduktion betrug 2,9\u202fmm. Augen mit visusbedrohendem Schweregrad gewannen im Mittel 2,2\u00a0Zeilen an Sehsch\u00e4rfe, der Visus bei rehabilitativer Indikation blieb stabil. Die Komplikationsrate betrug 4\u202f%. Neue Doppelbilder wurden nach 2\u00a0Eingriffen beobachtet. Bei einem Patienten kam es zu einer Visusminderung von 0,8 auf 0,1. In 9\u00a0F\u00e4llen f\u00fchrte die Operation zu einem vollst\u00e4ndigen R\u00fcckgang zuvor beklagter Doppelbilder.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Visusgewinn, Exophthalmusreduktion und Komplikationsrate sind in diesem Kollektiv vergleichbar mit zuvor publizierten Arbeiten. Diese Studie best\u00e4tigt die Rolle der Orbitadekompression bei visusbedrohender und schwer beeintr\u00e4chtigender endokriner Orbitopathie.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-020-01181-8","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T16:50:50Z","timestamp":1595004650000},"page":"345-355","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Orbitadekompression bei endokriner Orbitopathie\u00a0\u2013 Erfahrungen und Ergebnisse","Orbital decompression in Graves\u2019 orbitopathy\u2014Experiences and results"],"prefix":"10.1007","volume":"118","author":[{"given":"Sebastian","family":"K\u00fcchlin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Gruber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Reich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutz","family":"Joachimsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Metzger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Beck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Grauvogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf A.","family":"Lagr\u00e8ze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,7,17]]},"reference":[{"key":"1181_CR1","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1056\/NEJMra0905750","volume":"362","author":"RS Bahn","year":"2010","unstructured":"Bahn\u00a0RS (2010) Graves\u2019 ophthalmopathy. 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