Orbital Decompression

In a few cases the optic nerve, carrying the visual signals to the brain, can be compressed and this leads to failing vision. This condition is associated with Grave's Disease, an overactive function of the thyroid.

Surgery

The approach is through the nose and is often associated with the ophthalmologist who makes a small eyelid incision to complete the procedure. The Ear, Nose & Throat (ENT) surgeon opens  the sinuses between the eyes. The lining of the orbit is then slit to allow the fat of the orbit to swell into the space of the ethmoid sinus. Occasionally, the optic nerve needs to be decompressed at the same time.

Recovery

There is some swelling and bruising of the eyelid. Double vision and swelling may slow down the recovery. Further surgery of the eye lids and double vision may be planned as a later procedure.