Conditions Treated with Endoscopic Orbital Decompression

1. Thyroid Eye Disease (TED)

The most common indication. TED causes inflammation and enlargement of eye muscles and tissues, leading to bulging eyes, double vision, and even vision loss.

2. Severe Proptosis

Excessive forward displacement of the eyeball causing exposure, dryness, or cosmetic concerns.

3. Compressive Optic Neuropathy

Pressure on the optic nerve causing vision loss — requires urgent decompression.

4. Orbital Inflammation or Tumors

Certain orbital masses or swelling may benefit from decompression to relieve pressure.

5. Trauma-Related Orbital Pressure

Orbital fractures or hematomas causing increased pressure within the orbit.

Symptoms That May Require Orbital Decompression

• Bulging or protruding eyes (proptosis)
• Eye pain or pressure sensation
• Double vision or reduced eye movement
• Vision loss due to optic nerve compression
• Dryness, irritation, or inability to close the eyes completely

Diagnosis & Evaluation

Before surgery, a detailed assessment is performed to determine severity and plan the procedure.

• Comprehensive eye examination
• CT or MRI scan to evaluate muscle swelling and orbital anatomy
• Nasal endoscopy to assess sinus anatomy

How Endoscopic Orbital Decompression Is Performed

This procedure is generally performed under general anesthesia and involves:

• Insertion of an endoscope through the nostril to access the sinuses
• Removal or thinning of the medial and/or inferior orbital walls to create more space for orbital contents
• Reduction of pressure on the optic nerve and eye muscles
• Correction of proptosis, allowing the eye to move back into a normal position

The endoscopic approach avoids external scars and reduces recovery time compared to traditional open surgery.

Benefits of Endoscopic Orbital Decompression

• No external cuts — scarless surgery
• Excellent visualization of the orbit and sinuses
• Faster healing and minimal pain
• Improved eye position and reduced pressure
• Effective treatment for optic nerve compression

Recovery & Aftercare

• Mild swelling or congestion for a few days is normal
• Avoid blowing the nose for at least one week
• Use saline nasal washes as advised to promote healing
• Regular follow-up visits with ENT and Ophthalmology

Possible Complications

• Double vision (usually temporary)
• Bleeding or sinus infection
• Rare injury to orbital structures

Why Choose Dr. Shrekha Padmakshan?

Dr. Shrekha Padmakshan offers expert endoscopic management for orbital and sinus conditions using advanced technology and a multidisciplinary approach with ophthalmologists.

• Specialized in minimally invasive endoscopic orbital surgery
• High success rates in treating Thyroid Eye Disease
• Collaborative care with ophthalmology for best outcomes
• Comprehensive pre-operative evaluation and post-operative follow-up

If you experience bulging eyes, vision issues, or symptoms of thyroid eye disease, schedule a consultation to determine whether Endoscopic Orbital Decompression is the right treatment for you.