The medical orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy

Ophthalmic Plast Reconstr Surg. 1992;8(1):32-4. doi: 10.1097/00002341-199203000-00005.


Ocular dystopia with inferomedial displacement of the globe is an unusual but well-recognized complication of bony orbital decompression. It is caused by displacement of the muscle cone and orbital connective tissue system into the maxillary and ethmoidal sinuses. We illustrate a surgical variation of bony orbital decompression leaving intact a strut of bone at the maxillary-ethmoid junction. This bony strut reduces inferomedial displacement of the muscle cone and provides a medial supporting "ledge" in cases requiring late orbital reconstruction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Eye Diseases / prevention & control*
  • Humans
  • Orbital Diseases / surgery*
  • Postoperative Complications / prevention & control
  • Thyroid Diseases / surgery*