Orbital decompression

Chronic immune system-mediated inflammation can lead to an increased amount of connective tissue forming behind the eye, which pushes the eyeball forward – and severely limits its mobility. These changes also cause the eye muscles to swell.

In active endocrine orbitopathy, treatment usually comprised of medical therapy (with certain drugs) and/or surgical treatment of the thyroid. Orbital decompression surgery, to relieve these issues, only becomes an option once the diseases has stopped progressing for a period of at least one year.

Orbital decompression surgery involves removes bone from the eye socket so that the swollen eye muscles have more space to reside, and no longer push the eye forward. Clearly, this does not treat the underlying disease, but rather, but it can greatly improve a patient’s quality of life, as it ensures normal eyelid closure and also helps restore the patient’s own self-image: looking in the mirror and seeing a reflection of themselves with bulging eyes can be difficult to bear.

There are a number of surgical techniques that can be used to achieve orbital decompression, performed by various specialists, including facial surgeons, ear, nose and throat surgeons and orbital surgeons. The latter are highly specialized eye surgeons who treat all diseases around the bony eye socket.

Techniques

There are several techniques that can be used to perform this surgery – and they differ in both approach and result. 

Most facial surgeons prefer “transantral” approach, in which the facial skin is released at the top of the skull and “folded” down, so that the eye socket is freely accessible. You can appreciate why we chose not to show illustrations of this approach on the website.

Most orbital surgeons, including Dr. Dr. Paridaens, prefer access via the lower eyelid with a ~3 mm-long, hidden, cut. This has the benefit of much easier and faster wound healing, as the incision is far smaller than the transantral approach.  Below are illustrations (© Dr. Dr. Paridaens) that show the different stages of orbital decompression surgery using his preferred approach via the lower eyelid.

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Augeninstitut ELZA
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Squitieri Elias
Squitieri Elias
12:43 08 Sep 21
Die Behandlungen waren bei mir erfolgreich, alle waren sehr nett und haben mein Leben vereinfacht.Danke
Eliane Bossart
Eliane Bossart
13:01 05 Sep 21
Vor einem Jahr war ich einer ganz verzweifelten Situation und total im Stich gelassen. Meine Augen wurden aufgrund... eines ausgeprägten Kerakotonus immer schlechter, ich hatte Angst und war alleine mit meinen Problemen. Zudem vertrug ich die Kontaktlinsen nur noch ganz schlecht und hatte jeden Tag Schmerzen.Professor Hafezi hat mir mit zwei Operationen wieder das auf Grund der Situation mögliche an Lebensqualität zurückgebracht. Es war ein starpaziöses Jahr mit vielen Entbehrungen aber es hat sich gelohnt! Herzlichen Dank fuer die Unterstützung.read more
Gabriela Meyer
Gabriela Meyer
18:32 22 Aug 21
Ich wurde von meiner Optikerin auf Prof. Dr. Dr. Hafezi aufmerksam gemacht. Es war mir vorher nicht bewusst, dass meine... Augenkrankheit (Keratokonus) operativ mittels Cross Linking behandelt und so gestoppt werden kann. Die Beratung und Behandlung war sehr kompetent und ich fühlte mich jederzeit wohl. Die Operation verlief gut und das Ergebnis ist einwandfrei.read more
Naomi
Naomi
11:38 11 Aug 21
Ich bin sehr glücklich, dass ich das Elza Institute gefunden habe. Ich wurde von anderen Augenärzten abgewiesen, da... meine Augen zu kompliziert/schwierig zu behandeln waren. Prof. Dr. Dr. Hafezi konnte mir jedoch helfen und ich bin sehr glücklich und zufrieden mit dem Resultat. Vielen Dank!read more
Till B
Till B
08:30 19 Jul 21
Ich habe eine überaus kompetente Beratung und Behandlung erlebt. Die gesamte Betreuung war sehr freundlich und... professionell. Herzlichen Dank!read more
Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
Selma A. Rahim
Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
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