Lateral orbital wall anomaly in a patient with thyroid eye disease

Sukriti Mohan, Lily Koo Lin, Tiffany C. Ho, Sandy Zhang-Nunes, Vishal Patel, Jessica R. Chang

Research output: Contribution to journalArticlepeer-review

Abstract

An isolated defect in the lateral orbital wall is an uncommon occurrence, although cases of orbital floor, roof, and medial wall spontaneous dehiscence have been described in the literature. Here, we describe a lateral orbital wall defect in a patient with thyroid eye disease–which may be related to bony remodeling or may represent a rare congenital anomaly. Computed tomography (CT) prior to decompression surgery revealed a defect in the left lateral orbital wall. At the time of orbital decompression, prolapse of buccal fat into the orbit was noted once the subperiosteal plane was entered along the lateral orbital wall in the area of this bony defect. Literature review revealed only a few previous reports of lateral wall abnormalities, including two involving the inferior orbital fissure; one other case was associated with Down syndrome, and other reports consist of sphenoid hypoplasia associated with neurofibromatosis.

Original languageEnglish (US)
JournalOrbit (London)
DOIs
StateAccepted/In press - 2021
Externally publishedYes

Keywords

  • Bone remodeling
  • graves
  • orbital wall
  • spontaneous dehiscence
  • thyroid eye disease

ASJC Scopus subject areas

  • Ophthalmology

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