Endoscopic orbital decompression is a surgical procedure which is usually performed under a general anesthetic (going all the way to sleep). Going through your nose, your surgeon will first perform endoscopic sinus surgery and open the sinuses directly beside the eye (frontal, maxillary, ethmoid, and sphenoid sinuses). Once this is complete, the bone along one side of the eye (closest to the nose) and sometimes also part of the floor of the eye is carefully removed. This exposes the thin lining (periorbita) which covers the entire contents of the eye. Your surgeon will then make cuts along the periorbita, allowing the fat (and muscles of the eye to bulge into the sinuses. This procedure has then effectively enlarged the space of the orbit which in turn “decompresses” the entire eye. At the end of the surgery, there is usually no packing in the nose.
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