Orbital decompression surgery is an operation on the eye socket (orbit) that reduces the protrusion or bulging of the eye, double vision, and other visual disturbances - a condition that often occurs due to Thyroid Eye Disease (Graves' Eye Disease).
With this treatment, our Consultant Oral & Maxillofacial Surgeon, Prof. Pierre Bouletreau, focuses on creating adequate space in the orbit so that the eye can be pushed back to its normal position and function accurately.
Thyroid eye disease (TED), also known as Graves' ophthalmopathy, is an autoimmune disease linked to the overproduction of thyroid hormones. With this condition, the muscles and fatty material surrounding the eyes are attacked by antibodies (our body’s own defense system). As these tissues and muscles become inflamed and swollen, it disrupts the ability of the eyes to move together and function properly, leading to double vision.
If this condition is left untreated, the eyes are displaced from the socket, consequential to bulging of the eyes. It indicates that the eyelids cannot be closed completely and the natural presentation of the eye is lost. In severe cases, this leads to permanent vision loss, as the cornea and the optic nerve can become damaged due to the protrusion of the eye.
Once a diagnosis is made and Prof. Pierre Bouletreau confirms that you are a candidate for orbital decompression surgery, we will coordinate your hospital procedures. The procedure takes about 1-2 hours for both eyes. Because it involves a sensitive area, it's recommended to plan for a two-day hospital stay and then rest at home for about two weeks to recover.
After the surgery, you might experience some bruising and swelling around the eyes. To reduce this and lower the risk of infection, your doctor may prescribe antibiotics or pain relievers. Applying cold compresses can help minimize swelling.
Minor bleeding from the nose may occur but typically stops within 2 to 3 days. It's important to avoid strenuous activities, bending, and blowing your nose excessively for at least two weeks after the surgery.
Temporary double vision and sensitivity in the lower cheek and eyelid may occur in some cases, but these symptoms usually improve within a few weeks.
