{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T06:26:38Z","timestamp":1746339998382,"version":"3.37.3"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction High myopic eyes grow in length (&gt;\u20090.35\u2009mm\/dpt) more than in height and width leading to a disturbing unilateral exophthalmos in patients with anisomyopia and \u2013 more rarely \u2013 a bilateral exophthalmos in high myopia affecting both eyes. Secondary consequences are sicca symptoms and painful eye mobility due to a large bulbus in a too small bony orbit. The aim of the work was to evaluate the effectiveness of bony orbital compression in cases of high myopia.<\/jats:p><jats:p>\n          Material and Methods Four patients underwent bony orbital decompression between the years 2012 and 2019. Two of the patients received lateral and two of them balanced (medial endonasal endoscopic and lateral) decompression. The decompression effect, complications and the influence of decompression on eye position and motility were evaluated.<\/jats:p><jats:p>\n          Results Significant decompression effect was achieved in all patients. As a result, symmetry was restored in all unilaterally affected patients. No complications occurred. The lateral decompression had a positive effect on the preexisting convergent strabismus (reduction of the \u201ceso\u201d position, neutral to the vertical deviation). The carefully dosed medial decompression did not lead to any change of the horizontal position in one patient and in the other exotropic patient it resulted in a 10 pdpt of \u201cexo\u201d reduction without developing an \u201ceso\u201d position.<\/jats:p><jats:p>\n          Discussion The bony orbital decompression provides a sufficient decompression effect in the four patients to reduce the myopic pseudoexophthalmos. The alignment anomalies associated with a high myopia (\u201cheavy eye\u201d) was favourably influenced by the lateral decompression.<\/jats:p>","DOI":"10.1055\/a-1214-6557","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:05:19Z","timestamp":1598918719000},"page":"41-47","source":"Crossref","is-referenced-by-count":2,"title":["Bony Orbital Decompression in Patients with High Myopia and Pseudoexophthalmos"],"prefix":"10.1055","volume":"238","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4523-9798","authenticated-orcid":false,"given":"Anke","family":"Daser","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Mattheis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstin","family":"St\u00e4hr","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos E.","family":"Bechrakis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Dekowski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Eckstein","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Duisburg-Essen, Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e350","DOI":"10.1111\/j.1755-3768.2009.01770.x","article-title":"Definition of high myopia by parapapillary atrophy. The Beijing Eye Study","volume":"88","author":"L Xu","year":"2010","journal-title":"Acta Ophthalmol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"3380","DOI":"10.1167\/iovs.04-0292","article-title":"Eye shape in emmetropia and myopia","volume":"45","author":"D A Atchison","year":"2004","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00417-016-3439-2","article-title":"Association between axial length and horizontal and vertical globe diameters","volume":"255","author":"J B Jonas","year":"2017","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1016\/j.ophtha.2014.03.035","article-title":"Proposed classification of posterior staphylomas based on analyses of eye shape by three-dimensional magnetic resonance imaging and wide-field fundus imaging","volume":"121","author":"K Ohno-Matsui","year":"2014","journal-title":"Ophthalmology"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1016\/j.ophtha.2011.01.018","article-title":"Topographic analyses of shape of eyes with pathologic myopia by high-resolution three-dimensional magnetic resonance imaging","volume":"118","author":"M Moriyama","year":"2011","journal-title":"Ophthalmology"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1097\/IAE.0000000000000947","article-title":"Scleral and choroidal thickness in secondary high axial myopia","volume":"36","author":"L Shen","year":"2016","journal-title":"Retina"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12886-015-0059-2","article-title":"Choroidal thickness and high myopia: a\u00a0cross-sectional study and meta-analysis","volume":"15","author":"S Wang","year":"2015","journal-title":"BMC Ophthalmol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.ajo.2019.07.010","article-title":"Morphological characteristics and risk factors of myopic maculopathy in an older high myopia population-based on the new classification system (ATN)","volume":"208","author":"Q Chen","year":"2019","journal-title":"Am J Ophthalmol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1167\/iovs.18-26086","article-title":"Visual acuity in pathological myopia is correlated with the photoreceptor myoid and ellipsoid zone thickness and affected by choroid thickness","volume":"60","author":"J Ye","year":"2019","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"4381","DOI":"10.1167\/iovs.10-6987","article-title":"Incidence of blindness and severe visual impairment in Germany: projections for 2030","volume":"52","author":"R P Finger","year":"2011","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.preteyeres.2013.05.001","article-title":"The relationship between anisometropia and amblyopia","volume":"36","author":"B T Barrett","year":"2013","journal-title":"Prog Retin Eye Res"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.visres.2015.02.003","article-title":"Discriminating anisometropic amblyopia from myopia based on interocular inhibition","volume":"114","author":"W Jia","year":"2015","journal-title":"Vision Res"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.ajo.2019.01.029","article-title":"Rectus extraocular muscle paths and staphylomata in high myopia","volume":"201","author":"Y Li","year":"2019","journal-title":"Am J Ophthalmol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1136\/bjo.81.8.625","article-title":"New approach in strabismus surgery in high myopia","volume":"81","author":"T H Krzizok","year":"1997","journal-title":"Br J Ophthalmol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ajo.2009.09.006","article-title":"Muscle paths matter in strabismus associated with axial high myopia","volume":"149","author":"J L Demer","year":"2010","journal-title":"Am J Ophthalmol"},{"key":"ref16","first-page":"676","article-title":"[Unilateral exophthalmos?]","volume":"105","author":"A B\u00fcttner","year":"2008","journal-title":"Ophthalmologe"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1093\/asj\/sjw248","article-title":"Expanding role of orbital decompression in aesthetic surgery","volume":"37","author":"M R Taban","year":"2017","journal-title":"Aesthet Surg J"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.ophtha.2016.12.040","article-title":"Myopic shift 5 years after intraocular lens implantation in the Infant Aphakia Treatment Study","volume":"124","author":"D R Weakley","year":"2017","journal-title":"Ophthalmology"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1046\/j.1365-2265.2001.01241.x","article-title":"Interpretation and validity of changes in scores on the Graves\u02bc ophthalmopathy quality of life questionnaire (GO-QOL) after different treatments","volume":"54","author":"C B Terwee","year":"2001","journal-title":"Clin Endocrinol (Oxf)"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.survophthal.2017.03.007","article-title":"Orbital decompression for thyroid eye disease","volume":"63","author":"D B Rootman","year":"2018","journal-title":"Surv Ophthalmol"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.ajo.2005.04.023","article-title":"The removal of the deep lateral wall in orbital decompression: its contribution to exophthalmos reduction and influence on consecutive diplopia","volume":"140","author":"L Baldeschi","year":"2005","journal-title":"Am J Ophthalmol"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.otohns.2005.02.006","article-title":"Orbital decompression in Graves\u02bc ophthalmopathy by medial and lateral wall removal","volume":"133","author":"S Sellari-Franceschini","year":"2005","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref23","first-page":"300","article-title":"Rectus extraocular muscle paths and decompression surgery for Graves orbitopathy: mechanism of motility disturbances","volume":"43","author":"M D Abramoff","year":"2002","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1080\/01676830.2018.1552709","article-title":"A comparative analysis of piezosurgery and oscillating saw for balanced orbital decompression","volume":"38","author":"K Stahr","year":"2019","journal-title":"Orbit"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"e0218701","DOI":"10.1371\/journal.pone.0218701","article-title":"Influence of orbital morphology on proptosis reduction and ocular motility after decompression surgery in patients with Graves\u02bc orbitopathy","volume":"14","author":"M Oeverhaus","year":"2019","journal-title":"PLoS One"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"2507","DOI":"10.1007\/s00405-018-5105-2","article-title":"The influence of orbital decompression on objective nasal function in patients with Graves\u02bc orbitopathy","volume":"275","author":"K Stahr","year":"2018","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1097\/SCS.0000000000003159","article-title":"Pressureless orbital decompression for myopic proptosis","volume":"28","author":"S N Rajak","year":"2017","journal-title":"J Craniofac Surg"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1097\/IOP.0b013e3181cf9298","article-title":"Orbital decompression in the treatment of proptosis due to high axial myopia","volume":"26","author":"K Satchi","year":"2010","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"ref29","first-page":"135","article-title":"Endoscopic transnasal surgical approach for monolateral myopic non-Graves\u02bc exophthalmos: a\u00a0case report","volume":"3","author":"B Capolunghi","year":"2007","journal-title":"B-ENT"},{"key":"ref30","first-page":"17","article-title":"[Efficacy and side effects of lateral orbital wall decompression including the orbital rim in patients with Graves\u02bc orbitopathy]","volume":"236","author":"M Horn","year":"2019","journal-title":"Klin Monbl Augenheilkd"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s10006-019-00826-6","article-title":"Endoscopic orbital decompression for proptosis in non-thyroid eye disease","volume":"24","author":"V Juniat","year":"2020","journal-title":"Oral Maxillofac Surg"},{"key":"ref32","first-page":"553","article-title":"Surgical strategy in the treatment of globe protrusion depending on its mechanism (Graves\u02bc disease, nonsyndromic exorbitism, or high myopia)","volume":"117","author":"D Krastinova-Lolov","year":"2006","journal-title":"Plast Reconstr Surg"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1214-6557.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T01:02:18Z","timestamp":1611795738000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1214-6557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,31]]},"references-count":32,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,1,27]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1214-6557","relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published":{"date-parts":[[2020,8,31]]}}}