Lateral Wall Decompression

Consecutive or worsened strabismus is the most serious complication after orbital decompression surgery. Our interest in the lateral wall of the orbit is precipitated by a continual search for techniques that minimize the risk of new-onset or worsened double vision [1]. Traditional lateral orbital decompression involves removal of the anterior portion of the lateral orbital wall and is limited in the degree of orbital expansion that can be achieved [2]. For more decompression effects, the sphenoid can be drilled to the dura of the middle cranial fossa [3].