Orbital Decompression Surgery

We have the top Specialists in your city for Orbital Decompression Surgery.

Treatment Duration

Select

To

Select

Treatment Cost

Rs

To

Rs

If you have bulging or protruding eyes, medically known as exophthalmos, you may have an underlying condition called Graves’ ophthalmopathy that puts pressure on your eye socket. If the orbital pressure around your eyes becomes too high, it may even lead to vision loss. Orbital decompression is the surgical removal of the bones and sometimes the fat in the orbit of the eye (eye socket), performed to relieve exophthalmos.

What is Orbital Decompression Surgery?

If you have bulging or protruding eyes, medically known as exophthalmos, you may have an underlying condition called Graves’ ophthalmopathy that puts pressure on your eye socket. If the orbital pressure around your eyes becomes too high, it may even lead to vision loss. Orbital decompression is the surgical removal of the bones and sometimes the fat in the orbit of the eye (eye socket), performed to relieve exophthalmos.

What is Orbital Decompression Surgery?

What are the Benefits of Orbital Decompression Surgery?

  1. Improve vision when the optic nerve has been depressed by the orbital muscles
  2. To improve appearance in case of Grave's Ophthalmology
  3. To relieve symptoms of dry eyes, bulging eyes and any discomfort of the eyes.

Who needs Orbital Decompression Surgery?

Orbital decompression surgery is performed to treat Graves’ ophthalmopathy, which results from a buildup of certain carbohydrates in the muscles and tissues behind your eye. It can treat the following symptoms of Graves’ ophthalmopathy:-

  1. Bulging of the eyes
  2. Dry eye
  3. Inability to close the eyes completely
  4. Double vision
  5. Swelling of eyelids
  6. Increased orbital pressure
  7. Chronic pain in the eyes
  8. Headache

How is Orbital Decompression Surgery performed?

Orbital decompression surgery is generally performed under general anaesthesia. The procedure involves:-

Step 1: Making an incision: The surgeon usually makes an incision through your upper eyelid crease or caruncle (medial inner corner of the eye). 

Step 2: Removal of bone: He/she then carefully removes a part of the bone between your eye and your nose and a part of the bone that forms the outer layer of the orbit. The surgeon may also remove a part of the bone under your eye. 

Step 3: Removal of fat: Once the surgeon removes the bone, periorbita (a thin lining covering the eye) gets exposed. He/she will make small cuts in the lining and allow the muscle and fat surrounding the eye to expand. Your surgeon will then carefully remove some of the fat. 

Step 4: Closing the incision: The surgeon will close the skin with sutures and apply a bandage to the wound. 

The types of orbital decompression surgery include:-

Lateral wall decompression: The surgeon makes a 10-15 mm long incision in the crease of your outer eyelids and removes a section of bone behind the outer wall of the orbit. The skin is closed by stitches which are removed after two weeks. 

Medial wall decompression: The surgeon makes an incision in the conjunctiva behind the inner corner of the eyelid and removes the ethmoid air cells, also known as sinuses. He/she uses absorbable stitches to close the conjunctiva. There are no visible scars in the procedure. 

Orbital floor decompression: It is similar to lateral wall decompression in which the surgeon removes a part of the floor of the orbit underneath the eyeball. 

What Can You Expect Before the Orbital Decompression Surgery?

  1. Before the surgery, the doctor will advise you for a pre-anaesthetic checkup. 
  2. The doctor will ask you about your medical history and perform imaging tests to ensure that you are fit for the surgery. 
  3. The doctor will ask you to stop taking blood thinners like aspirin and anti-inflammatory medicines at least three weeks before the surgery. 
  4. He/she will instruct you to stop smoking two weeks before and after the surgery. 
  5. You will be asked to not eat or drink anything after midnight the night before the surgery. 
  6. He/she will then briefly explain the procedure, hospital stay, estimated cost, and insurance formalities

What Can You Expect on the day of Orbital Decompression Surgery?

  1. You will be informed to arrive a few hours before the surgery begins.
  2. The hospital staff will ask you to sign consent formalities before admitting you to the hospital.
  3. They will inform you about the change of clothes and removal of all jewellery pieces. 
  4. The doctor will record your last meal and monitor your vitals, including blood pressure, heart rate, and breathing. 
  5. After your vitals are monitored, the team will shift you to the OT room.

What Can You Expect During the Orbital Decompression Surgery?

  1. In the OT room, you will be made to relax on the operating table. 
  2. The team will administer an IV line in your arms or hands for fluids. 
  3. The anaesthesiologist will administer general anaesthesia to put you to sleep throughout the surgery. 
  4. Someone from the team will constantly monitor your vitals. 
  5. Finally, the surgeon will make the required incisions and perform the surgery. 
  6. After the surgery is done, he/she will close the incision with sutures.

What is Recovery and Post Op Care after Orbital Decompression Surgery?

Recovery in Hospital:-

  1. After the surgery, the team will shift you to the recovery room to monitor your vitals and the effect of anaesthesia. 
  2. You may feel extremely tired after the surgery. The doctor may prescribe a pain medication to manage the pain. 
  3. Orbital decompression is performed as an outpatient procedure, i.e., you will be able to go home the same day. However, sometimes you may need to spend one night in the hospital under observation.
  4. Ask a friend or family member to drive you home. 

Recovery at Home:-

  1. There is some bruising or swelling around the eye that can last up to two weeks. 
  2. Your doctor may prescribe corticosteroids and antibiotics to help reduce swelling and prevent infections. 
  3. You should remain active after the surgery but avoid engaging in strenuous activities for 10-14 days. 
  4. Avoid lifting heavy objects or bending in the first week after the surgery. 
  5. Do not blow your nose for the first few days after the surgery. 
  6. The doctor may also advise using cold compresses to help relieve pain and swelling. 

First Follow-Up Appointment

The first follow-up appointment is typically scheduled one to two weeks after the surgery. During the visit, the doctor will remove your sutures and examine the healing of your eye. The doctor does not need to remove sutures in medial wall decompression surgery. He/she will also provide other home care and follow-up instructions.

 

What are Risks and Complications of Orbital Decompression Surgery?

Like any other surgery, orbital decompression has some risks. The potential risks of orbital decompression include:-

  1. Diplopia (double vision)
  2. Scarring
  3. Optic nerve injury
  4. Epiphora (excessive tearing)
  5. Retinal detachment
  6. Bleeding in the nose or around the eye
  7. Vision loss
  8. Eye or sinus infection
  9. Blocked tear duct
  10. Eyelid malposition
  11. Cerebrospinal fluid leakage
  12. Scratch on the cornea
  13. Swelling of the conjunctiva
  14. Pain in the eye
  15. Numbness around the eye

Call your healthcare professional immediately if you experience:-

  1. Vision loss
  2. Increase in pain, redness, or swelling
  3. Vomiting and nausea
  4. Drainage of pus or blood from the incision

More Treatment options

Expert Doctors for Orbital Decompression Surgery

Dr. Hitendra Ahooja

Dr. Hitendra Ahooja

Cataract, Cornea, & Refractive Care
26 years experience
97% Recommended
Dr. Charu Gupta

Dr. Charu Gupta

Ophthalmology
29 years experience
100% Recommended
Dr. Chander Mukhi

Dr. Chander Mukhi

Anaesthesiology
10 years experience
96% Recommended
Dr. Rituraj Baruah

Dr. Rituraj Baruah

Ophthalmology
16 years experience
100% Recommended
Dr. Anshu Gupta

Dr. Anshu Gupta

Ophthalmology
22 years experience
98% Recommended
Dr. Sonika Gupta

Dr. Sonika Gupta

Ophthalmology
24 years experience
97% Recommended
Dr. Sonika Gupta

Dr. Sonika Gupta

Ophthalmology
24 years experience
97% Recommended
Dr. Tarun Kapur

Dr. Tarun Kapur

Ophthalmology
34 years experience
97% Recommended
Dr. Tarun Kapur

Dr. Tarun Kapur

Ophthalmology
34 years experience
97% Recommended

NABH Accredited Hospitals for Orbital Decompression Surgery

Apollo Spectra Hospital, Karol Bagh

Apollo Spectra Hospital, Karol Bagh

66A, 2, New Rohtak Road 110005
Excellence in Ophthalmology
4.8/5
Dharamshila Narayana Superspeciality Hospital

Dharamshila Narayana Superspeciality Hospital

Metro Station, Dharamshila Marg 110096
Excellence in Ophthalmology
4.9/5
Fortis Flt Lt Rajan Dhall Hospital, Vasant Kunj

Fortis Flt Lt Rajan Dhall Hospital, Vasant Kunj

Aruna Asaf Ali Marg, Pocket 1 110070
Excellence in Ophthalmology
4.8/5
Eye Mantra Hospital, Rohini

Eye Mantra Hospital, Rohini

B 62, In Front of CRPF School 110085
Excellence in Ophthalmology
4.7/5
Umkal Hospital

Umkal Hospital

A-520 122022
Excellence in Ophthalmology
4.9/5
Sama Hospital

Sama Hospital

8 110049
Excellence in Ophthalmology
4.9/5
CDAS Hospital, Gurugram

CDAS Hospital, Gurugram

Plot no.- 1, Malibu Town, 122018
Excellence in Ophthalmology
4.6/5
Medstar Hospital, Paschim Vihar

Medstar Hospital, Paschim Vihar

Outer Ring Rd, Block A 110087
Excellence in Ophthalmology
4.9/5

Book Appointment for for Orbital Decompression Surgery

By clicking on the above button you agree to receive a call back

Latest Health Articles

Treatment availability in your city

WhatsApp Expert Call Expert