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Clinical examinations including visual acuity, exophthalmometry (Hertel) and orthoptic evaluation were performed preoperatively and at minimum 6\u00a0weeks postoperatively. Mean follow-up was 22.9\u00a0weeks.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Mean proptosis values have significantly decreased after surgery (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). In 83.3% of the patients Hertel measurement normalized (\u2264\u200918\u00a0mm) after surgery, New onset diplopia within 20\u00b0 of primary position occurred in 33.0% of patients, of whom 16.0% had preoperative double vision in secondary gaze. Patients suffering from dysthyroid optic neuropathy (DON) had a significant increase in visual acuity (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We demonstrated that individually adapted graduated orbital decompression successfully improves key disease parameters of Graves\u2019 orbitopathy with low morbidity.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-021-07003-0","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T16:29:30Z","timestamp":1626884970000},"page":"2401-2407","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Proposing a surgical algorithm for graduated orbital decompression in patients with Graves\u2019 orbitopathy"],"prefix":"10.1007","volume":"279","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3725-9054","authenticated-orcid":false,"given":"Kerstin","family":"St\u00e4hr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Daser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Oeverhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timon","family":"Hussain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Eckstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Mattheis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"7003_CR1","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1038\/clpt.2012.10","volume":"91","author":"RS Bahn","year":"2012","unstructured":"Bahn RS (2012) Autoimmunity and Graves\u2019 disease. 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