TY - JOUR T1 - Orbital decompression for severe dysthyroid eye disease. JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 107 LP - 111 DO - 10.1136/bjo.71.2.107 VL - 71 IS - 2 AU - P Fells Y1 - 1987/02/01 UR - http://bjo.bmj.com/content/71/2/107.abstract N2 - Current methods of medical treatment of this difficult condition are briefly reviewed, with comments on the generally unsatisfactory response. Attention is therefore directed to surgical methods and a short history given of the various routes used for orbital decompression. The author's own results of transantral, and more recently ethmoidal, decompression are given, with a detailed description of the technique for the latter approach. An interesting frequent consequence of postoperative A pattern to the ocular movements is discussed in the light of Koornneef's concept of orbital fascial anatomy, and suggestions are made for its avoidance. ER -