Orbital decompression is the partial or complete removal of one or more, of the four walls of the orbit or the eye socket. It is primarily performed for Graves' disease (thyroid eye disease). Graves' disease frequently includes some combination of thyroid disease, bulging of the eyes, lid lag, retraction of the eye lids and double vision. Optic nerve decompression is the partial or complete removal of the bone surrounding the optic nerve. This procedure is primarily employed for trauma to the optic nerve resulting in compromised vision. Partial optic nerve decompression is less frequent and is utilized in thyroid eye disease with optic neuropathy. The results of optic nerve decompression vary with the indications, the experience of the surgeon, the length of time between visual compromise and the indications for the surgery. Optic nerve decompression surgery is medically necessary for the treatment of Papilledema accompanying idiopathic intracranial hypertension and Traumatic optic neuropathy. Optic nerve decompression surgery is also known as optic nerve sheath decompression surgery. It involves cutting slits or a window in the optic nerve sheath to allow cerebrospinal fluid to escape, thereby reducing the pressure around the optic nerve. This procedure is done with the use of endoscopes allowing the ophthalmologist to go through the nose and sinuses to perform this delicate surgery without any cuts to the face.
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