Orbital Decompression Surgeon

Orbital decompression is a surgery that removes bone and fat from the socket, or orbit, of the eye to relieve the symptoms of eye conditions, like exophthalmos – a condition that causes your eyes to look like they’re coming out of their sockets (bulging eyes). 

This happens because thyroid eye disease causes inflammation in the eye muscles and fatty tissue behind the eye. 

The team has a completely customized approach to orbital decompression surgery, intending to restore your appearance and eye function. Before your surgery, they order a CT scan to see precisely which areas of the eye should be targeted during the procedure. They also perform a full eye exam and take measurements of your eye protrusion.

To ensure your comfort, the team performs orbital decompression surgery with general anesthesia, so you aren’t awake during the procedure. First, they make a small incision in the upper eyelid crease or through your caruncle — the inner corner of your eye — before removing a portion of the bone between the eye and the nose. They also take out the part of the bone that creates the outer wall of your eye socket. If necessary, they may remove bone from under your eye.

Next, the team makes another incision in the thin lining that covers your eyeball, allowing the fat and muscle around the eye to expand. For aesthetic purposes, they may remove a small amount of fat surrounding the eye.

To reduce swelling and minimize your risk of infection, the team may prescribe antibiotics, pain medication, or corticosteroids. You shouldn’t lift anything heavy, bend over, or blow your nose for at least the first week after the procedure. 

It’s important to avoid strenuous activity for about two weeks during your recovery. Minor pain and swelling are normal side effects, however, call the team right away if you experience severe swelling, bleeding, or pain after your Orbital Decompression Surgery.