gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Decision making and indications for a surgical approach in patients with thyroid ophthalmopathy: when eyelid surgery, when decompression surgery, when extraocular muscle surgery?

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  • corresponding author W. Lieb - Dept. of Ophthalmology, St. Vincentius-Kliniken, Karlsruhe

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.17.03

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Lieb.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Thyroid orbitopathy is an inflammatory orbital disorder, which occurrs commonly with an immunehyperthyroidism of Basedow type. In 50 - 60 % of these patients visible symptoms but only in 3 - 5 % severe courses occur. Women are 8 times more commonly affected than men. A significant influence on prevalence, severity and course has been found for smoking. According to the symptoms and the clinical activity score therapeutic measures are taken. Baseline therapy is always the endokrinologic stabilization of thyroid function. Depending on predominant symptoms exophthalmus, diplopia, eyelidretraction or optic nerve compression indications for surgical intervention must be individually tailored. Principially the rule: decompression surgery, before ocular muscle surgery, before eyelid surgery applies.