Deep lateral rim-sparing orbital wall decompression in spontaneous globe subluxation associated with shallow orbits and eyelids laxity

ABSTRACT

Purpose: To share our experience on deep lateral wall rim-sparing orbital decompression for the prevention of further spontaneous globe subluxation, in patients with shallow orbits and eyelid laxity.

Methods: This is a retrospective, interventional case series review. We report the results of deep lateral wall rim-sparing orbital decompression in 7 patients with recurrent spontaneous globe subluxation, operated in our department between 2010 and 2016. The orbital morphology was established by computed tomography scan images, and all patients with shallow orbit configuration and who in addition had eyelid laxity were included. Patients with thyroid eye disease were excluded.

Results: No significant intraoperative and postoperative complications were encountered. In all cases, the patients were satisfied with the aesthetic result and none reported further episodes of globe subluxation.

Conclusions: Deep lateral wall rim-sparing orbital decompression is a safe and effective decompressive procedure associated with minimal complications, which can be performed successfully in patients with spontaneous globe subluxation associated with shallow orbits with enough eyelid laxity.

KEYWORDS:

• Decompression
• deep lateral wall
• globe subluxation
• orbital
• rim-sparing

Author Contributions Statement

AB-G conceived, designed the study and performed the analyses. AB-G, B-ML, AM-C, and ES wrote the manuscript. EM-G and M-DL-LL provided suggestions and insights. All author edited and reviewed the manuscript.

Conflict of interest

The authors have no financial or conflicts of interest to disclosure.

Data Availability

The data that support the findings of this study are available from the corresponding author, EM-G, upon reasonable request.

Ethical approval

All procedures performed in this study involving human participants were in accordance with ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants include in the study.