What exactly is orbital decompression surgery? Expert reveals benefits for thyroid eye disease

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Thyroid autoimmune diseases such as Graves’ disease are closely associated with thyroid eye disease and it is believed that the antibodies directly affect the orbital tissues, causing lymphocyte infiltration, increased fibroblast activity and internalization of the structural elements of the orbit. Accumulation of glycosaminoglycan occurs. Here’s all you need to know about orbital decompression surgery to seek timely intervention for thyroid eye disease.

What exactly is thyroid eye orbital decompression surgery?  Expert reveals benefits for thyroid eye disease (Photo by Twitter/ThiruchiEyecare)
What exactly is thyroid eye orbital decompression surgery? Expert reveals benefits for thyroid eye disease (Photo by Twitter/ThiruchiEyecare)

What exactly is orbital decompression surgery?

In an interview with HT Lifestyle, Dr. Debraj Shome, senior cosmetic surgeon and director of The Aesthetic Clinic, shared, “The orbital walls and orbital fat are carefully removed to increase the volume of the orbit in a surgical procedure known as orbital decompression. Requires removal or thinning and adjustment of abnormally enlarged muscles and tissues. In addition to considering functional and aesthetic criteria, decompression is performed based on the degree of proptosis. The purpose of this special procedure is to relieve pressure on the eyes caused by swelling and inflammation of the orbital tissues.

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He revealed, “This condition can cause serious vision problems and severe discomfort for patients. Surgery involves removing bone from the orbit to make room for the swollen tissues, thereby reducing pressure on the optic nerve and returning the eyes to a more normal position. An interesting aspect of orbital decompression surgery is its ability to not only improve visual function but also restore a person’s appearance. By creating additional space within the eye socket, this surgical intervention can help reduce proptosis (bulging eyes) and other aesthetic concerns associated with thyroid eye disease.

Dr. Debraj Shome said, “In addition, recent advances in surgical techniques have allowed a more personalized approach, leading to better outcomes and reduced risk of complications. Ultimately, orbital decompression surgery represents a significant advancement in addressing the complex challenges posed by thyroid eye disease. By focusing on both functional and cosmetic aspects, this procedure provides new hope for individuals battling this debilitating condition and underscores the important role of surgical innovation in improving a patient’s quality of life.

Cosmetic Orbital Decompression Surgery:

Dr. Debraj Shome explains, “Orbital decompression has been shown to have functional and cosmetic benefits for relative proptosis of thyroid and non-thyroid origin. Since there is asymmetry in the eyes, it results in facial deformities and adversely affects the quality of life. From the days of orbital decompression surgery using a transcranial approach with significant morbidity and complications to more recent methods using endoscopes and hidden eyelid crease or conjunctival incisions with comparatively short recovery times and significantly reduced risks, the procedure has Have come a long way.

He elaborated, “Cosmetic orbital decompression is a newly emerging field and surgeons can now more confidently grade the decompression and minimize diplopia and other problems. This surgery is suitable for people who have bulging eyes, which is quite irritating to affect social interactions.” According to him, apart from thyroid-related orbitopathy, other conditions in which cosmetic orbital decompression can be performed are , they are:

  • congenital shallow orbits
  • Congenital hypoplasia of malar eminence
  • Enlarged globe with high myopia
  • Enlarged globe due to buphthalmos
  • Asymmetrical globe secondary to trauma.

Advantages of this surgery:

Dr. Debraj Shome emphasizes, “Orbital decompression surgery, also known as orbital blowout surgery, offers many benefits to patients suffering from thyroid eye disease (TED) or other conditions that cause proptosis and eye bulging. Causes arise. A major advantage is the possibility of better visual functioning. By creating space within the orbit and reducing pressure on the optic nerve, this surgical procedure can help restore or preserve vision for many patients. It has a transformative effect on the patient’s appearance and overall quality of life.

He added, “By reducing eye prominence and restoring normal eye alignment, this procedure can significantly improve self-esteem and confidence. This surgery can reduce the physical discomfort associated with TED. In many cases, patients experience significant relief from symptoms such as dry eyes, irritation, double vision, and difficulty closing eyelids after the procedure. This improvement in comfort can significantly enhance daily activities and overall well-being for individuals living with proptosis-related symptoms.

The expert concluded, “This personalized approach not only enhances outcomes but also minimizes potential complications, thus instilling a sense of reassurance in those considering this transformative procedure. By highlighting these innovative aspects of orbital decompression surgery, it becomes clear that it is a game-changer in restoring both physical comfort and emotional well-being for patients struggling with TED.

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