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Temporal hollowing and other adverse effects after lateral orbital wall decompression
Hans Olav Ueland1, Olav H Haugen1,2, Eyvind Rødahl1,2
1Department of Ophthalmology, Haukeland University Hospital, Bergen, Norway.
Acta Ophthalmologica
|June 9, 2016
Summary
Lateral orbital wall decompression for thyroid eye disease (TED) effectively reduces intraocular pressure and proptosis. However, patients should be informed of common side effects like temporal hollowing and less common risks.
Area of Science:
- Ophthalmology
- Endocrinology
- Surgical Science
Background:
- Thyroid eye disease (TED) can cause significant ocular morbidity, including proptosis and visual impairment.
- Lateral orbital wall decompression is a surgical option to alleviate these symptoms.
Purpose of the Study:
- To evaluate the long-term outcomes and postoperative complications of lateral orbital wall decompression in patients with TED.
Main Methods:
- A retrospective study included 84 patients with TED who underwent lateral orbital wall decompression between 1999 and 2013.
- Data collected included patient interviews, hospital records, and postoperative photographs.
- Statistical analysis used the Wilcoxon signed-rank test to compare pre- and postoperative data.
Main Results:
- Visual acuity remained unchanged post-surgery.
- Significant reductions were observed in intraocular pressure (IOP) and proptosis (Hertel values).
- Common complications included temporal sensation changes (50%) and temporal hollowing (56%), with new-onset diplopia in 5%.
Conclusions:
- Lateral orbital wall decompression is effective in reducing IOP and proptosis in TED patients.
- While serious complications are rare, less severe side effects like temporal hollowing are common.
- Informed consent regarding potential complications is crucial for patients undergoing this procedure.
