Orbital decompression in thyroid related orbitopathy.

Thyroid related orbitopathy is the most common extra-thyroid manifestation of Graves' disease. Most patients suffer from mild ocular discomfort and local eye symptoms; however sight threatening conditions such as optic neuropathy or corneal exposure can occur. Orbital decompression allows orbital tissue expansion with globe repositioning. It is effective in alleviating pressure symptoms such as pain and compressive neuropathy. Surgery should be offered to patients with cosmetic disfigurement and functional disability.