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How Do You Know If You Need Orbital Decompression?

Orbital decompression surgery relieves pressure in the eye sockets. It involves the removal of bone or fat from the eye socket to create more space for the eyes. It can also relieve pressure and improve the function and appearance of the eyes. So, how do you know if you need orbital decompression? Below, you will find the answer to this question and more helpful information about the surgery that will help you determine if it would be beneficial for you.

 

How Do You Know If You Need Orbital Decompression?

Orbital decompression surgery is effective for those with thyroid eye disease. It is also beneficial for those with eye protrusion or orbital pressure. The surgery is not necessary for every patient with these conditions. However, patients with certain conditions would benefit from the procedure. If you exhibit any of the following signs, orbital decompression may be the right option for you.

 

Eye Bulging

Eye bulging is the most common reason to undergo orbital decompression surgery. Eye bulging is characterized by the eyes sticking out further than is considered normal. This condition is clearly visible and can impact your facial aesthetic. Bulging eyes are most commonly caused by swelling and fat buildup around the eyes. Orbital decompression surgery is effective in creating more space for the tissues around your eye and allows your eyes to move back and settle into a more natural state in your eye socket.

 

Eye Discomfort

Pain, pressure, or tightness around your eyes is a symptom common among patients who undergo oculofacial plastic surgery. These symptoms can indicate swelling, inflammation, and pressure in the orbital area of the eye. Persistent eye discomfort can be treated with orbital decompression surgery. It is important to consult with an oculofacial plastic surgeon for more information.

 

Vision Issues

Vision complications are a common side effect of thyroid eye disease. Specifically, patients with TED often struggle with double vision, blurry vision, and loss of peripheral vision. In some cases, severe vision issues, such as optic nerve compression, can occur. This vision complication results from the optic nerve being squeezed by swollen tissues. Due to the risks associated with untreated vision loss, it is important to consult with a specialist. If your optic nerve is at risk, it can cause permanent vision damage.

 

Eyelids Do Not Close

Bulging eyes that are difficult to close indicate orbital compression surgery may be necessary. Beyond general discomfort, not being able to fully close your eyes can lead to several unwanted issues, including dryness, irritation, and redness. When your eyes are constantly open, it can lead to persistent dryness. The lack of moisture can lead to exposure to keratopathy. Surgery is an effective treatment option for protecting your cornea and reducing your discomfort.

 

Purpose of Orbital Decompression Surgery

Orbital decompression surgery offers both functional and aesthetic benefits. However, it is primarily performed to address the medical issues caused by thyroid eye disease and other eye conditions. Without treatment, long-term vision issues can impact your overall quality of life. Below are some of the benefits that come from orbital decompression surgery.

 

Reduce Impact on Optic Nerve

The optic nerve is integral to the health of your eyes and the longevity of your vision. Untreated pressure on the optic nerve can lead to several unwanted outcomes. Orbital decompression surgery can reduce pressure on the optic nerve. This reduces your risk of vision loss.

 

Improve Unwanted Symptoms

Bulging eyes not only look noticeably different, but they can also cause many unwanted symptoms. Double vision, blurred vision, vision loss, redness, dryness, irritation, and discomfort are common. Orbital decompression surgery can eliminate these symptoms. This can make daily life so much easier. 

 

Improved Appearance 

The symptoms associated with thyroid eye disease and other eye conditions are often visible. Bulging eyes, redness, and dryness can impact your facial aesthetic. This can leave you feeling self-conscious and lose your confidence. Many people isolate and deal with personal and professional issues due to the condition. Orbital decompression surgery can allow you to look and feel better.

 

Types of Orbital Decompression Surgery

There are different types of orbital decompression surgery. The type that is right for you depends on the severity of the condition and your unique needs. Below are the most effective and common types of orbital decompression. 

 

Orbital Fat Decompression

Orbital fat decompression surgery is also referred to as orbital fat removal. It is a surgical procedure that removes the excess fatty tissue from the eye socket. This alleviates your symptoms and the appearance of your eyes. It is a common procedural option for patients with thyroid eye disease. Patients with other conditions that cause bulging eyes can benefit as well. 

 

Orbital Bone Decompression

Orbital bone decompression surgery involves the removal of some of the bony structures in the eye sockets. This leaves more room for the tissues and fat in your eye socket. The removal of the bony structures also allows your eyes to move back and settle into a more normal position. One of the most notable benefits of this surgery is that it reduces pressure on the optic nerve, reducing your risk of permanent vision loss. 

 

Recovering from Orbital Decompression Surgery

Orbital decompression surgery is performed on an outpatient basis. This means that you can go home the same day. You may notice swelling, bruising, and mild discomfort after surgery and for the first few weeks. This is completely normal, and they should gradually subside as you heal. Your surgeon will provide you with post-operative instructions. It is critical to follow these to ensure you heal properly.

For the first two weeks, you should focus on rest and recovery. This includes sleeping with your head elevated. Use cold compresses to reduce swelling. Take all of your prescribed medications to effectively manage your symptoms. Avoid physical activity for the first few weeks. Light walking and other movement can be integrated after two weeks. However, you should avoid strenuous physical activity and heavy lifting until at least one month after surgery.

It is best to have a trusted friend or family member stay with you as you heal. They can assist in meal preparation and monitoring your symptoms. You will have a follow-up appointment after surgery. Be sure to attend this appointment so your surgeon can assess your recovery. 

 

Oculofacial Plastic Surgery in Miami

If you have thyroid eye disease, contact Dr. Sarah Avila today to schedule a consultation!