3D printing Мetric Device in Deep Lateral Wall Decompression. Clinical Observations
https://doi.org/10.18008/1816-5095-2025-3-572-576
Abstract
There are the results of using a metrical device, manufactured using 3D printing, in performing deep lateral bone decompression of the orbit in the article. Clinical cases of the steroid-resistant form of Thyroid Eye Disease (TED) are presented, each of which was accompanied by optic neuropathy, exophthalmos, and decreased visual acuity.The device for intraoperative assessment of the depth of surgical intervention in EOP has proven to be an effective and safe tool, enhancing the efficacy of dLWD by increasing the volume of bone mass removed and reducing the potential risks of damaging the soft tissue structures of the orbit and the dura mater.
About the Authors
Ya. O. Grusha
M.M. Krasnov Research Institute of Eye Diseases; M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Yaroslav O. Grusha - MD, Professor, Head of the Department of Orbital and Ocular Reconstructive Plastic Surgery.
Rossolimo str., 11A, B, Moscow, 119021; Trubetskaya str., 8, bld. 2, Moscow, 119991
K. V. Chetkarev
M.M. Krasnov Research Institute of Eye Diseases; Lomonosov Moscow State University Hospital
Russian Federation
Russian Federation
Kirill V. Chetkarev - junior researcher at the Department of Orbital and Ocular Reconstructive Plastic Surgery.
Rossolimo str., 11A, B, Moscow, 119021; Lomonosovsky Ave., 27, bld. 10, Moscow, 119234
A. S. Kolodina
M.M. Krasnov Research Institute of Eye Diseases
Russian Federation
Russian Federation
Alexandra S. Kolodina - junior researcher, Department of Orbital and Ocular Reconstructive Plastic Surgery.
Rossolimo str., 11A, B, Moscow, 119021
References
1. Mehta P, Durrani OM. Outcome of deep lateral wall rim-sparing orbital decompression in thyroid-associated orbitopathy: a new technique and results of a case series. Orbit. 2011 Dec;30(6):265–268. doi: 10.3109/01676830.2011.603456.
2. Grusha YaO, Kochetkov PA, Sviridenko NYu, Kolodina AS, Dzamikhov IK. Bony orbital decompression in thyroid eye disease]. Annals of Ophthalmology. 2024;140(1):103–108 (In Russ.). doi: 10.17116/oftalma2024140011103.
3. Grusha YaO, Dzamikhov IK. The significance of surgical anatomy in lateral orbital wall decompression. Annals of Ophthalmology. 2022;138(5-2):289–292 (In Russ.). doi: 10.17116/oftalma2022138052289.
4. Grusha YaO, Ismailova DS, Kochetkov PA, Andreeva NA. Optic neuropathy in endocrine ophthalmopathy: possibilities of surgical treatment. Annals of Ophthalmology. 2020;136(4-2):193–200 (In Russ.). doi: 10.17116/oftalma2020136042193.
5. Grusha YaO, Kochetkov PA, Danilov SS, Duvanova ED, Sviridenko NYu. Complications of transnasal endoscopic orbital decompression in endocrine ophthalmopathy // Annals of Ophthalmology. 2023;139(3):63–68 (In Russ.). doi: 10.17116/oftalma202313903163.
6. Grusha YaO, Ismailova DS, Kochetkov PA, Danilov SS. Potentials of intraoperative navigation during balanced orbital bony decompression in thyroid eye disease (preliminary results). Russian Annals of Ophthalmology. 2016;132(4):29–34 (In Russ.). doi: 10.17116/oftalma2016132429-34.
7. Grusha YaO, Kolodina AS. A set of tools for intraoperative measurement of the size of a defect in the bone walls of the orbit Patent RU 2743333, 17.02.2021 (In Russ.).
8. Grusha YaO, Kolodina AS. Method of deep bone decompression of the orbit in optical neuropathy in patients with endocrine ophthalmopathy Patent RU 2742799, 10.02.2021 (In Russ.).
9. Grusha YaO, Danilov SS. Device for measuring the anteroposterior size of a bone defect in lateral bone decompression of the orbit. Patent RU 2799622, 07.07.2023 (In Russ.).
10. Grusha YaO, Chetkarev KV, Kolodina AS. Method of deep lateral bone decompression of the orbit Patent RU 2826134, 04.09.2024 (In Russ.).
11. Goldberg RA, Weinberg DA, Shorr N, Wirta D. Maximal, three-wall, orbital decompression through a coronal approach. Ophthalmic Surg Lasers. 1997 Oct;28(10): 832–843.
12. Goldberg RA, Hannani K, Toga AW. Microanatomy of the orbital apex. Computed tomography and microcryoplaning of soft and hard tissue. Ophthalmology. 1992 Sep;99(9):1447–1452. doi: 10.1016/s0161-6420(92)31785-3.
13. Goldberg RA, Hwang MM, Garbutt MV, Shorr N. Orbital decompression for non-Graves’ orbitopathy: a consideration of extended indications for decompression. Ophthalmic Plast Reconstr Surg. 1995 Dec;11(4):245–252; discussion 253.
14. Cruz AAV, Equiterio BSN, Cunha BSA, Caetano FB, Souza RL. Deep lateral orbital decompression for Graves orbitopathy: a systematic review. Int Ophthalmol. 2021 May;41(5):1929–1947. doi: 10.1007/s10792-021-01722-3.
15. Goldberg RA, Kim AJ, Kerivan KM. The lacrimal keyhole, orbital door jamb, and basin of the inferior orbital fissure. Three areas of deep bone in the lateral orbit. Arch Ophthalmol. 1998;116(12):1618–1624. doi: 10.1001/archopht.116.12.1618.
16. Grusha YO, Kolodina AS, Kochetkov PA, Chetkarev KV, Sviridenko NY. The results of modified lateral wall decompression using ultrasound-guided osteodestruction. Russian Annals of Ophthalmology. 2025 (In Russ.). In press.
Review
For citations:
Grusha Ya.O., Chetkarev K.V., Kolodina A.S. 3D printing Мetric Device in Deep Lateral Wall Decompression. Clinical Observations. Ophthalmology in Russia. 2025;22(3):572-576. (In Russ.) https://doi.org/10.18008/1816-5095-2025-3-572-576
Views:
8
Email this article 