{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:01:16Z","timestamp":1787169676902,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>The purpose was to study the effects of removal of the lateral orbital rim in patients with prior three-wall decompression for thyroid eye disease (TED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This was a single-institution retrospective case series of patients presenting with symptoms and signs of residual symptomatic proptosis that had previously undergone three-wall decompression for TED. Data collected included patient age, gender, presenting symptoms, ocular history, proptosis reduction, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Eleven orbits were identified. The mean preoperative exophthalmometry for the operative eye was 24.0 mm with 2.7 mm of relative proptosis. Removal of the lateral orbital rim resulted in a mean reduction in proptosis of 2.5 mm (range: 0.5\u20135.0 mm,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). There was no significant change in diplopia, lagophthalmos, margin reflex distance (MRD) 1, MRD2, or exposure keratopathy. No canthal deformities were noted. All subjects reported satisfaction with functional and cosmetic outcomes of lateral orbital rim removal, and none reported problems with external contour irregularities of the lateral canthal region.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Removal of the lateral orbital rim as part of a maximal orbital bony decompression adds to the decompressive effect of proptosis reduction with minimal side effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjo.tjo_56_21","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T04:55:38Z","timestamp":1645851338000},"page":"32-34","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of lateral orbital rim decompression in patients with prior rim-sparing, three-wall orbital decompression"],"prefix":"10.4103","volume":"12","author":[{"given":"Bradford W.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane S.","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Scawn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bobby S.","family":"Korn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don O.","family":"Kikkawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240830","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3109\/01676830.2011.603456","article-title":"Outcome of deep lateral wall rim-sparing orbital decompression in thyroid-associated orbitopathy: A new technique and results of a case series","volume":"30","author":"Mehta","year":"2011","journal-title":"Orbit"},{"key":"R2-5-20240830","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.ijom.2018.08.016","article-title":"Comparison of rim-sparing versus rim-removal techniques in deep lateral wall orbital decompression for graves\u2019 orbitopathy","volume":"48","author":"Zhang","year":"2019","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R3-5-20240830","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1007\/s00417-015-3237-2","article-title":"Comparison of lateral orbital decompression with and without rim repositioning in thyroid eye disease","volume":"254","author":"Sagiv","year":"2016","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R4-5-20240830","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3109\/01676830.2013.788662","article-title":"Functional and esthetic outcome after bony lateral wall decompression with orbital rim removal and additional fat resection in graves\u2019 orbitopathy with regard to the configuration of the lateral canthal region","volume":"32","author":"Fichter","year":"2013","journal-title":"Orbit"},{"key":"R5-5-20240830","doi-asserted-by":"crossref","first-page":"860849","DOI":"10.1155\/2015\/860849","article-title":"Results after en bloc lateral wall decompression surgery with orbital fat resection in 111 patients with graves\u2019 orbitopathy","volume":"2015","author":"Fichter","year":"2015","journal-title":"Int J Endocrinol"},{"key":"R6-5-20240830","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.jcms.2009.04.001","article-title":"En bloc resection of the lateral orbital rim to reduce exophthalmos in patients with graves\u2019 disease","volume":"38","author":"Schaaf","year":"2010","journal-title":"J Craniomaxillofac Surg"},{"key":"R7-5-20240830","first-page":"17","article-title":"Efficacy and side effects of lateral orbital wall decompression including the orbital rim in patients with graves\u2019 orbitopathy","volume":"236","author":"Horn","year":"2019","journal-title":"Klin Monbl Augenheilkd"},{"key":"R8-5-20240830","doi-asserted-by":"crossref","first-page":"101111","DOI":"10.1016\/j.ajoc.2021.101111","article-title":"Early efficacy of teprotumumab for the treatment of dysthyroid optic neuropathy: A multicenter study","volume":"23","author":"Sears","year":"2021","journal-title":"Am J Ophthalmol Case Rep"}],"container-title":["Taiwan Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/tjo.tjo_56_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:35Z","timestamp":1787166695000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/tjo.tjo_56_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/tjo.tjo_56_21","relation":{},"ISSN":["2211-5056"],"issn-type":[{"value":"2211-5056","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}