Abdul Haleem, Zaheer Umar, Israr Ahmed Bhuttoo, Muhammad Faisal Fahim.
Complications of Lateral Orbitotomy.
Ophthalmol Update Jan ;14(1):52-6.

Objective: Objective of this study is to report the complications of lateral orbitotomy. Material & Methods: In this descriptive study the patients were selected on non-probability purposive basis at Isra Post Graduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital Malir Karachi, from Feb 2014 to July 2015. All the patients with orbital lesions where lateral orbitotomy is indicated were included. Patients previously undergone orbital surgery elsewhere were not included. Results: In this study lateral orbitotomy was carried out in 16 patients was (through S shaped incision in 3 patients and in 13 patients through lateral canthotomy incision), Intra-operative complication rate was 25% that is in 4 patients, contributed by intra-operative haemorrhage in 1 patients (6.25%), lateral rectus damage in 2 patients (12.50%), and failure to locate lesion in 1 patient (6.25%). The postoperative complications were; transient restriction of EOMs in one or two gazes in 2 patients (12.50%) that recovered within 2 - 4 month, EOMs restriction in all gazes in 1 patient (6.25%) and muscle fibrosis in 1 patients (6.25%). Conclusion: Lateral orbital yields a high degree of success and few permanent complications. Visual function usually is improved, cosmetic appearance is enhanced, and life-threatening conditions can be eliminated.

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