Orbital decompression

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Orbital Decompression

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100% Invisible Post-Operative Incisions

What is it?

Orbital decompression is a surgical procedure carried out to treat exophthalmia (prominent eyes). Patients with exophthalmia usually suffer from increased pressure in the retroocular area. This surgical treatment creates a larger cavity for the orbit so that the surgeon can replace the eyeball by performing bone or fat decompressions. This reduces the pressure on the orbit by enlarging the eyeball’s volume.

When is it carried out?

  • Patients with exophthalmia
  • Patients with thyroid orbitopathy

Previous Examinations

  • A full ophthalmological examination and eyelid and periocular examination.
  • A visual field (campimetry) and colour test to rule out compressive optic neuropathy.
  • Photos are taken to assess the patient’s condition before and after treatment.
  • A Hertel test (exophthalmometry) is conducted to measure the position of both eyes.
  • An orbital CT scan is performed to assess the cause of exophthalmia.

During the Surgical Operation

The surgical operation enlarges the volumetric cavity of the orbit by acting on its bone walls. This is done through orbitectomies (cuts or resections in the orbital bone walls) and/or retroocular fat decompression (lipectomy). The procedure is performed in the outpatient unit, and incisions made during the surgery become invisible in the post-operative period.

After the Surgical Operation

  • The patient’s eye is occluded for 24 hours, after which the surgeon conducts a post-operative check-up.
  • The patient must take antibiotics and anti-inflammatory drugs orally and topically.
  • The patient is advised to take suitable rest after surgery.
  • Final results can be seen after about one month.

Associated Pathologies

  • Exophthalmos