Orbital decompression for thyroid eye disease creates more space around the eye to relieve pressure, reduce bulging, and protect the optic nerve. It is usually considered once the active inflammatory phase has settled.
Why decompression may be recommended
Swollen muscles and fat behind the eye can push the eye forward and squeeze important structures. Surgery helps when medicines alone are not enough.
- Improves severe proptosis that causes exposure, dryness, or cosmetic distress
- Relieves compression of the optic nerve when vision is threatened
- May reduce eye pain and pressure sensation
- Forms part of a staged plan that might later include squint or eyelid surgery
What to expect from surgery
Surgeons remove small sections of bone and sometimes fat through hidden incisions. Recovery takes several weeks.
- Bruising, swelling, and temporary double vision are common afterwards
- Eye position usually improves gradually as tissues settle
- Further adjustments with prisms or muscle surgery may be needed
- Close coordination with endocrinology ensures thyroid levels remain stable
