{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:52:44Z","timestamp":1777002764833,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100001818","name":"Research to Prevent Blindness","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001818","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lions District 20-Y1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Scientific World Journal"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the reduction in proptosis, incidence of postoperative diplopia, and postoperative globe symmetry after transcaruncular medial wall decompression in patients with unilateral Graves ophthalmopathy.<jats:italic>Methods<\/jats:italic>. Retrospective review of 16 consecutive patients who underwent unilateral transcaruncular medial wall orbital decompression from 1995 to 2007. The diagnosis of Graves ophthalmopathy was based on history and clinical findings including proptosis, lagophthalmos, lid retraction, motility restriction, and systemic thyroid dysfunction.<jats:italic>Results<\/jats:italic>. The mean reduction in proptosis was 2.3\u2009mm. The mean difference in exophthalmometry preoperatively between the two eyes in each patient was 3.1\u2009mm whereas postoperatively the mean difference was 1.1\u2009mm (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.0002<\/mml:mn><\/mml:mrow><\/mml:math>). Eleven of 16 patients (69%) had 1\u2009mm or less of asymmetry postoperatively. There was no statistically significant difference in the incidence of diplopia pre- and postoperatively (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>1.0<\/mml:mn><\/mml:mrow><\/mml:math>).<jats:italic>Conclusions<\/jats:italic>. Medial wall orbital decompression is a safe and practical surgical approach for patients with unilateral Graves orbitopathy. The procedure carries a low risk of morbidity and yields anatomic retrusion of the globe that is comparable to other more invasive methods and may yield more symmetric postoperative results.<\/jats:p>","DOI":"10.1100\/2012\/312361","type":"journal-article","created":{"date-parts":[[2012,4,30]],"date-time":"2012-04-30T22:01:57Z","timestamp":1335823317000},"page":"1-5","source":"Crossref","is-referenced-by-count":13,"title":["Transcaruncular Medial Wall Orbital Decompression: An Effective Approach for Patients with Unilateral Graves Ophthalmopathy"],"prefix":"10.1100","volume":"2012","author":[{"given":"Robert H.","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, SUNY Upstate Medical University, 750 East Adams St., Syracuse, NY 13210, USA"},{"name":"Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University\/Doctor\u2019s Hospital, 5100 W. Broad St., Columbus, OH 43228, USA"},{"name":"Department of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, 111 S. Grant Ave., Columbus, OH 43215, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig N.","family":"Czyz","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University\/Doctor\u2019s Hospital, 5100 W. Broad St., Columbus, OH 43228, USA"},{"name":"Department of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, 111 S. 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