Orbital
Surgery that enlarges the bony orbit to relieve proptosis and optic-nerve compression in thyroid eye disease — the first step of rehabilitative surgery.
Medically reviewed by Morris E. Hartstein, MD, FACSOculoplastic SurgeonLast updated June 2026
Part of our complete guide to Thyroid Eye Disease (TED) — this page covers orbital decompression surgery in depth.
Orbital decompression is the first and most fundamental of the rehabilitative operations for thyroid eye disease. By enlarging the bony eye socket it relieves a bulging eye and, when needed, pressure on the optic nerve.
Explore orbital anatomy, clinical findings, and the medial wall, lateral wall, and floor decompression surgical techniques.
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In order to create additional space on the outer orbit, the surgeon may remove some of this bone with (as seen here) or thin the bone in this area.
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Orbital decompression creates additional volume within the orbit by removing one or more orbital walls, allowing the expanded orbital contents to bulge into the adjacent sinuses. This reduces proptosis, relieves corneal exposure, and — crucially — decompresses the optic nerve when vision is threatened.
Dr. Hartstein tailors the approach to each patient’s CT anatomy, severity, and goals:
Schedule a consultation with Morris E. Hartstein, MD, FACS to learn if this procedure is right for you.
