Orbital decompression is a surgical procedure that aims to alleviate symptoms and complications caused by a condition called exophthalmos, or bulging eyes. It involves removing a portion of the bony wall of the eye socket to create more space for the eye to sit comfortably within the socket.
The procedure is typically performed by an oculoplastic surgeon and is considered a major operation. It can be a life-changing procedure for individuals suffering from severe inflammation, pressure, and displacement of the eyes due to conditions like Graves' disease or tumors.
What can Orbital Decompression achieve?
Orbital decompression can achieve several goals:
- Relieve symptoms such as eye pain, double vision, and dryness.
- Reduce the protrusion of the eyes, improving aesthetics.
- Protect the eyes from injury, as they are no longer excessively exposed.
- Restore normal eye movement and coordination.
What's included in Orbital Decompression?
The procedure typically involves:
- General anesthesia to ensure patient comfort during the surgery.
- Creation of an incision to access the eye socket.
- Removal of a portion of the eye socket's bone.
- Placement of surgical implants, if necessary, to support the eye and maintain proper eye positioning.
- Closure of the incision and usually placing sutures that will be removed later.
What are the pros and cons of Orbital Decompression?
Pros:
- Significant reduction in symptoms and improvement in quality of life.
- Enhanced appearance and self-esteem.
- Protection of the eyes from trauma.
Cons:
- It is a major surgical procedure with inherent risks.
- Possible complications include infection, bleeding, scarring, and damage to surrounding structures.
- Recovery can be lengthy and may require time off work.
How much does Orbital Decompression cost?
The cost of orbital decompression surgery in the UK can vary, ranging from £4,000 to £10,000. However, it is important to consult with a specialist to determine an accurate estimate based on individual circumstances.
Who's a good candidate for Orbital Decompression?
A good candidate for orbital decompression is someone who:
- Has severe eye symptoms and bulging caused by conditions like Graves' disease or tumors.
- Has appropriately controlled the underlying condition.
- Is in good overall health and is medically fit for surgery.
- Has realistic expectations about the procedure's outcomes.
Is Orbital Decompression worth it?
Orbital decompression can be life-changing for individuals with severe eye symptoms and protrusion. For those who have exhausted other treatment options, such as medication and radiation therapy, orbital decompression can provide significant relief and improve both functionality and appearance.
How to prepare for Orbital Decompression?
Prior to orbital decompression, it is important to:
- Consult with an oculoplastic surgeon to discuss goals and expectations.
- Undergo a thorough medical evaluation and provide a complete medical history.
- Follow any pre-operative instructions provided, such as fasting before surgery.
- Arrange for someone to drive you home and stay with you during the initial recovery period.
How does Orbital Decompression work?
During orbital decompression surgery:
- A general anesthetic is administered to ensure the patient remains comfortable throughout the procedure.
- An incision is made, usually on the inside of the eyelid or along the eyebrow.
- A portion of the orbital bone is removed to create additional space for the eye.
- Any necessary adjustments are made to achieve proper eye alignment.
- The incision is closed using sutures.
How long does the effect of Orbital Decompression last?
The effects of orbital decompression are typically permanent. However, it is important to continue follow-up care with the surgeon to monitor any potential changes or complications.
Is Orbital Decompression safe?
Orbital decompression is generally safe, but like any surgery, it does carry risks. Potential complications can include infection, bleeding, scarring, and damage to surrounding structures. It is important to discuss these risks with the surgeon before proceeding with the procedure.
How soon will you see results and what is the recovery process like?
Following orbital decompression, the initial swelling and bruising may take several weeks to subside. Improvement in symptoms and eye appearance will become noticeable gradually over the course of several months. The complete recovery time varies from person to person but can take up to six months.
FAQs:
1. Will orbital decompression completely fix my double vision?
No, orbital decompression can improve double vision, but it may not completely eliminate it. However, many patients experience a significant reduction in double vision symptoms post-surgery.
2. How long do I need to stay in the hospital after the procedure?
The length of hospital stay varies depending on individual circumstances. In most cases, patients can return home the day of the procedure or the following day.
3. Can I wear eyeglasses or contact lenses after orbital decompression?
In most cases, eyeglasses or contact lenses can be worn after orbital decompression surgery. However, it is important to consult with the surgeon for specific recommendations and guidance.
References:
- American Academy of Ophthalmology - Orbital Decompression
- Eyesthetica - Orbital Decompression
- NHS - Orbital Decompression Surgery