OBJECTIVES/HYPOTHESIS: Diplopia remains a major potential complication of orbital decompression performed for @entity2194 . We sought to examine the effect of medial and lateral wall surgery with sparing of the orbital floor on the incidence of @entity86 . STUDY DESIGN: Retrospective review. METHODS: A retrospective review was made of 63 consecutive medial and lateral orbital wall surgeries (40 @entity1 ) performed between December 1996 and May 2002 for orbital decompression of @entity2194 . RESULTS: The average @entity1 age was 50.9 years of age (age range, 14-83 y). The studied group was predominantly female (sex ratio, 36:4). Indications were @entity1781 (34), exposure keratopathy (25), and aesthetic concerns (4). The mean time since surgery was 31.5 months (range, 3-69 mo). The medial wall was approached by a transcaruncular (59) or endoscopic (4) technique. Two @entity1 had fat removal. The average improvement in exophthalmos was 4.1 mm (range, 0-10 mm). The average palpebral fissure improvement was 2.0 mm (range, 0-7 mm). Two @entity1 had cerebrospinal fluid leaks during excavation of the sphenoid bone. These were diagnosed and repaired primarily without complication. New-onset @entity892 occurred in four @entity1 . Two of these @entity1 required strabismus surgery. CONCLUSION: A 10% new-onset @entity892 rate compares favorably with other surgical series. Medial and lateral wall surgery only, sparing the floor, may reduce @entity892 after surgery for orbital decompression in @entity2194 .

Medial and lateral orbital wall surgery for balanced decompression in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2194 :: ('MESH:D005128', 'Disease') :: ['thyroid eye disease'] @entity1781 :: ('MESH:D009901', 'Disease') :: ['compressive optic neuropathy'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative diplopia'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia']
@entity2194 :: (MESH:D005128,Disease) :: ['thyroid eye disease']
