Would orbital decompression cause double vision for TED patients who are no longer in are active phase?
Doctor Answers 2
Thyroid orbital decompression
Once your thyroid orbital disease is stabilized, and vision presumably at a good baseline, you have two choices for the protruding appearance. You may consider eyelid surgery to bring the upper lids down over the eyeballs - which makes the eyes appear to be further back in the eye socket, or you may consider orbital decompression to allow the eyes to sink back into the sockets. Eyelid surgery generally carries less risk than orbital surgery. Often eyelid surgery is necessary after orbital decompression, and - if you do develop diplopia after surgery - you might require strabismus surgery as well. If you are otherwise healthy and are a nonsmoker, your odds are better for success without diplopia. I agree with Dr. Schiller that the risks for orbital decompression (bone, not just fat) are relatively low in the hands of an experienced Oculoplastic surgeon. Best wishes with your decisions!