Related Experiment Video
Updated: Sep 18, 2026
Establishment of a Severe Dry Eye Model Using Complete Dacryoadenectomy in Rabbits
Published on: January 8, 2020
Combined endoscopic medial and inferior orbital decompression with transcutaneous lateral orbital decompression in
W Abraham White1, William L White, Peter E Shapiro
1University of Missouri-Kansas City, School of Medicine, Kansas City, Missouri, USA.
Purpose:
To determine the clinical efficacy and morbidity of combined endoscopic transnasal medial and inferior wall orbital decompression performed in conjunction with transcutaneous lateral orbital decompression.
Design:
Retrospective noncomparative case series.
Participants:
Thirty-four subjects (64 orbits) underwent combined orbital decompression procedures for treatment of Graves' orbitopathy.
Intervention:
Transnasal endoscopic medial wall and floor with simultaneous transcutaneous lateral orbital decompression.
Main Outcome Measurements:
Ocular motility, visual acuity, and exophthalmometry.
Results:
No new ocular motility disturbances occurred. There was a mean gain of 0.7 Snellen lines in acuity (range +9 to -10 lines). A mean proptosis reduction of 4.2 mm was observed (range 1-9 mm).
Conclusions:
Combined endoscopic transnasal medial and inferior orbital wall decompression done in conjunction with transcutaneous lateral orbital decompression carries a low risk of morbidity, including new onset motility disorders, and yields anatomic retropulsion of the globe that is comparable to other methods.
