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APPOINTMENT!

Orbital Decompression (Protruding Eye) Surgery

What is Orbital Decompression (Puppet Eye) Surgery?

What is Orbital Decompression?

Orbital decompression is a surgical procedure that aims to reduce eye protrusion (proptosis) by removing a portion of the bone or fatty tissue in the orbit. This condition, most commonly caused by thyroid eye disease (Graves' orbitopathy), can cause both visual impairment and aesthetic problems.

In Which Situations Is It Applied?

This surgical method can be applied to patients with the following complaints:

  • Severe protrusion of the eyes (protruding appearance)

  • Dry eyes and irritation due to eyelid not closing properly

  • A feeling of pressure or pain behind the eye

  • Decreased vision due to pressure on the optic nerve

  • Double vision (diplopia)

Who is it suitable for?

Orbital decompression usually:

  • In patients whose active inflammatory period of thyroid eye disease has been completed

  • Individuals who have aesthetic or functional problems

  • In cases where urgent intervention is required due to pressure on the optic nerve

  • It is applied to people who have dry eyes and are at risk of infection.

How is Bulging Eye Surgery Performed?

Surgery is usually performed through small incisions made inside the eyelid or in the under-eye area. These incisions widen the orbit and reposition the eyeball closer to its natural position. Excess orbital fat may also be removed during the procedure.

What is the Recovery Process Like?

The postoperative period is generally quick and comfortable:

  • There may be swelling and bruising for the first few days.

  • Most patients can return to their social lives within 7-10 days.

  • Full recovery usually takes 4-6 weeks.

  • In some cases, additional surgeries (eyelid correction, strabismus surgery) may be necessary.

Frequently Asked Questions

Surgery doesn't aim to improve vision, but it can improve vision quality in some patients by reducing pressure on the optic nerve. While vision loss is rare, it can be a serious complication.

The protrusion of the eye is significantly reduced, but a completely symmetrical appearance is not always guaranteed. If necessary, secondary corrective surgery may be planned.

 

Yes, it is a permanent solution for most patients. However, if the disease progresses or recurs, additional surgeries may be necessary.

While the primary purpose of surgery is medical necessity, the aesthetic benefits are also significant. Patients with significant eye protrusion, in particular, may experience significant improvements in facial symmetry.

This is rare in surgeries performed with appropriate technique. The goal is to restore the eye to its natural anatomical position, avoiding excessive intervention.