- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: May 4, 2025
Orbital decompression is a highly specialised oculoplastic surgical procedure designed to relieve pressure within the eye socket (orbit), most commonly for patients with Thyroid Eye Disease (Graves’ ophthalmopathy). At Blue Fin Vision® Eye Clinic, with clinics in London, Chelmsford, and Hatfield, our expert oculoplastic surgeons offer advanced orbital decompression surgery to restore comfort, protect vision, and improve appearance for those affected by bulging or painful eyes.
Understanding Orbital Decompression
Orbital decompression involves removing small sections of bone and/or fat from the eye socket to create more space for the eye and its surrounding tissues. This relieves pressure, reduces bulging (proptosis), and helps prevent or treat vision-threatening complications.
Why is Orbital Decompression Performed?
The primary reasons for orbital decompression surgery include:
- Thyroid Eye Disease (Graves’ ophthalmopathy): The most common indication. In this condition, inflammation and swelling cause the tissues and muscles behind the eye to expand, pushing the eye forward and increasing pressure within the orbit.
- Vision at risk: If swelling compresses the optic nerve, urgent surgery may be needed to prevent permanent sight loss.
- Severe eye bulging (proptosis): For those bothered by the cosmetic or physical effects of prominent eyes.
- Eye pain or discomfort: Caused by pressure, dryness, or inability to close the eyelids fully.
- Corneal exposure: When the eyelids cannot close properly, the cornea can dry out, leading to pain and risk of infection.
The Orbital Decompression Procedure
Orbital decompression surgery is tailored to each patient’s anatomy and needs. The procedure is performed under general anaesthetic by a highly trained oculoplastic surgeon.
Steps Involved:
- Assessment and Planning:
- Detailed imaging (CT or MRI scans) to map the orbit and plan which walls or fat pockets to remove.
- Discussion of risks, benefits, and expected outcomes.
- Surgical Technique:
- Small incisions are made either inside the eyelid or in hidden areas around the eye.
- Bone and/or fat are carefully removed from the orbit to create more space.
- The eye gently settles back into a more natural position, relieving pressure.
- The incisions are closed with fine sutures.
- Recovery:
- Most patients stay in hospital for a short period after surgery.
- Swelling and bruising are common but improve over a few weeks.
- Follow-up appointments are essential to monitor healing and eye health.
Benefits of Orbital Decompression Surgery
- Restores a more natural eye appearance by reducing bulging.
- Protects vision by relieving pressure on the optic nerve.
- Reduces pain and discomfort caused by tightness or dryness.
- Improves eyelid closure, protecting the cornea from exposure and damage.
- Boosts confidence and quality of life for those affected by the appearance of prominent eyes.
Who is a Candidate for Orbital Decompression?
You may benefit from the orbital decompression procedure if you have:
- Moderate to severe Thyroid Eye Disease with bulging eyes
- Vision threatened by optic nerve compression
- Difficulty closing your eyelids or protecting your eyes
- Persistent eye pain or discomfort due to orbital pressure
- Concerns about the cosmetic impact of prominent eyes
A thorough assessment at Blue Fin Vision® Eye Clinic will determine if orbital decompression surgery is the right solution for you.
Why Choose Blue Fin Vision® Eye Clinic?
- Specialist expertise: Our oculoplastic surgeons are leaders in orbital decompression surgery, with extensive experience in complex eye conditions.
- Personalised care: Every treatment is tailored to your unique anatomy and visual needs.
- State-of-the-art technology: We use advanced imaging and surgical techniques for precise, safe, and effective results.
- Comprehensive support: From your first consultation to your final follow-up, our team is committed to your comfort, safety, and satisfaction.
- Convenient locations: Access world-class care at our eye clinics in Harley Street (London), Weymouth Street (London), Chelmsford, and Hatfield.
What to Expect After Surgery
- Recovery: Swelling and bruising are normal and usually subside within a few weeks. Most patients can return to light activities within a week, with full recovery over several weeks.
- Follow-up care: Regular appointments are essential to monitor healing, eye movement, and vision.
- Long-term results: Most patients experience significant improvement in eye comfort, appearance, and function.
Take the Next Step with Blue Fin Vision®
If you are living with bulging eyes, discomfort, or vision changes due to Thyroid Eye Disease or another orbital condition, orbital decompression surgery may offer lasting relief and protection for your sight.
Book a consultation at Blue Fin Vision® Eye Clinic in London, Chelmsford, or Hatfield today. Trust our specialist team to deliver expert, compassionate care and guide you towards clearer vision and renewed confidence.
Your vision deserves the very best – choose Blue Fin Vision® for advanced orbital decompression surgery and personalised eye health solutions.
