PURPOSE: Rim-off lateral wall decompression may be associated with functional and cosmetic deficit. Our objective, therefore, was to describe the functional and cosmetic results of deep lateral orbital decompression with and without anterior rim repositioning for @entity2194 . METHODS: In this retrospective comparative case series all consecutive @entity2194 @entity1 who underwent deep lateral wall decompression at the Royal Victorian Eye and Ear Hospital between 1990-2007 and the Goldschleger Eye Institute, Sheba Medical Center between 2008-2011 were included. @entity1 were divided into two groups: the "rim-on" group in which the anterior lateral orbital rim was repositioned and the "rim-off" group in which it was left off. Main outcome measures were: proptosis reduction, @entity86 and @entity892 , presence of visible or palpable lateral orbit @entity308 . RESULTS: One hundred and twelve @entity1 who underwent 186 orbital decompressions were included in the final analysis. The average proptosis reduction for two- and three-wall decompressions ranged between 4.6-4.9  mm in the rim-on and 4.6-5.7  mm in the rim-off group respectively. The prevalence of @entity86 was similar in both groups. The preoperative @entity892 worsened in 17 @entity1 (32.1  %) in the rim-on group and in seven @entity1 (12.3  %) in the rim-off group (P   =   .02, chi-square test). None of the @entity1 developed visible or palpable lateral orbit @entity308 . CONCLUSIONS: Deep lateral orbital decompression without anterior rim repositioning may be an effective approach to enhance functional and cosmetic outcomes in @entity2194 @entity1 without increasing the risk of lateral wall @entity308 or @entity86 .

Comparison of lateral orbital decompression with and without rim repositioning in XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity2194 :: ('MESH:D005128', 'Disease') :: ['thyroid eye disease'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative oscillopsia'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia']
@entity2194 :: (MESH:D005128,Disease) :: ['thyroid eye disease']
