Orbital Disease & Trauma

Thyroid Eye Disease
Thyroid eye disease usually occurs as a result of Graves disease, or hyperthyroidism, but it can also affect hypothyroid or euthyroid patients. Infiltration of the muscles and tissues surrounding the eye can cause poor eye movement, proptosis (bulging of the eyes), malpositioned eyelids and sometimes vision loss. The most common sign of thyroid eye disease is eyelid retraction. Management of patients with this disease is often multidisciplinary and includes endocrinologists, internists, strabismus surgeons, ophthalmologists and oculoplastic surgeons. Patients experiencing severe sight-threatening progression of the disease often require high-dose steroid treatment, radiation therapy or surgery to decompress the eye and preserve sight. Patients may also require surgery to straighten the muscles that move the eye and eyelid.

Orbital Trauma
Orbital trauma to the eyelids and bony orbits often results from car accidents or sports injuries. Such trauma frequently requires surgical repair by an oculoplastic surgeon for optimal functional and aesthetic results. Restoring the bony orbit around the eye is important for eye positioning and vision. Scar tissue from injury or surgery may be unsightly or deform the eyelids. Scarring can cause poor function and closure of the eyelid, notching of the eyelid margin, drooping eyelids, misdirected lashes and irritation to the eye. Scar revision can be addressed with reconstructive surgery to improve these problems.

Orbital Tumors
Some cancers in other parts of the body can spread to the orbit, the area behind the eye. Primarily, orbital tumors can occur behind the eyes and can be malignant or benign. Often, patients will present with a bulging eye, a palpable mass, pain or double vision. Radiologic imaging is necessary to help identity the type of tumor and surgical excision can be performed.

Removal of an Eye (Enucleation or Evisceration)
Removal of an eye, or enucleation, is often necessary due to injury, tumor or disease. A natural looking prosthetic eye can often replace a non-functioning eye and maintain partial movement. Though people can wear a prosthetic eye for several years without complications, some side effects may require surgical and medical attention. Poor fit of the prosthesis, sagging of the eyelids, loss of shape of the eye socket, migration or infection of the implant may require revision or replacement. In most cases, the final results are aesthetically pleasing to the patient.

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