Oh yeah, forgot to mention my dosage and such in the OP - don't know if that matters, but I have been and will be on 40mg my whole course, and I am 20, 43kg female.
I am almost 3 months into my Accutane treatment, and in general my acne has improved (though I still get the occasional pimple and get break outs when I'm on my period), however I noticed that the texture of my skin is just terrible these days. My skin around the acne used to be very soft and smooth, and the pores on my nose were bigger than average, but not as huge as they are now. Overall, the condition of my skin has worsened and it looks like the pores all over my face have enlarged. My skin is acne-free now, but it's looking really rough. Is this normal? I hear Accutane is supposed to shrink pores, not make them bigger. :c
It doesn't really shrink pores, but since it shrinks the sebaceous gland (which is part of pilosebaceous unit, which includes the pore + gland), it can make them look smaller.
However the "orange peel texture" you are describing appears to be a common side effect of both Accutane and Retin-A products. Not really sure why. Some people get it and some people don't. There's not a whole lot you can do about it once it happens.
To clarify - by "side effect", do you mean this will eventually go away on its own once I am off the medication, or is this a permanent result of using Accutane for those that do experience this?