School of Medicine

Wide surgical access to the orbital floor and medial wall is often impaired by the inferior oblique muscle. There is no current consensus on the optimal surgical approach for exposure, and techniques involving inferior oblique disinsertion are generally shunned for concern of possible complications. The objective is to determine the safety and outcomes of inferior oblique division and reattachment for sugical access to the orbital floor and medial wall. The conclusion is that division and reattachment of the inferior oblique muscle is a safe method that allows for panoramic surgical visualization of the inferior and medial orbit.