Downloaded from http://bjo.bmj.com/ on August 30, 2016 - Published by group.bmj.com Clinical science Surgical management of temple-related problems following lateral wall rim-sparing orbital decompression for thyroid-related orbitopathy We Fong Siah,1 Bhupendra CK Patel,2 Raman Malhotra1 1Corneoplastic Unit, Queen ABSTRACT a thin rim of lateral wall bone23and those that Victoria Hospital NHS Trust, Aim To report a case series of patients with persistent create a bony window. The latter technique can be East Grinstead, UK 4 2 temple-related problems following lateral wall rim- achieved by a lateral orbitotomy approach, en bloc Division of Facial and Orbital 5 Cosmetic & Reconstructive sparing (LWRS) orbital decompression for thyroid-related resection of the lateral orbital wall with or Surgery, Moran Eye Center, orbitopathy and to discuss their management. without the rim,67temporal fossa approach8 and University of Utah, Methods Retrospective review of medical records of coronal approach.9 Salt Lake City, Utah, USA patients referred to two oculoplastic centres While literature is in abundance regarding the Correspondence to (Corneoplastic Unit, Queen Victoria Hospital, East occurrence of postoperative strabismus after orbital Dr We Fong Siah, Grinstead, UK and Moran Eye Center, University of Utah, decompression, other ocular morbidities are under- Corneoplastic Unit, Queen Salt Lake City, USA) for intervention to improve/alleviate reported. Recently, Fayers et al10 reported the inci- Victoria Hospital NHS Trust, temple-related problems. All patients were seeking dence of masticatory oscillopsia following a lateral East Grinstead RH19 3DZ, UK;
[email protected], treatment for their persistent, temple-related problems wall rim-sparing (LWRS) where the temporalis
[email protected] of minimum 3 years’ duration post decompression.