Thyroid eye disease (TAO) orbital decompression

Thyroid ophthalmopathy (TAO) is a disease that seriously affects the patient’s appearance and can lead to protruding eyes, enlarged lid fissures (receding upper lids), strabismus, double vision, and loss of vision. Since the lesions are in the eyes, it is an extremely difficult disease to conceal, thus seriously affecting the patient’s physical and mental health. Unlike the days of closed information, many TAO patients today know that eye protrusion can be corrected surgically by orbital pathologists with extensive experience. Most patients are so satisfied with the results of the surgery that they do not review them anymore after the surgery, probably thinking that the treatment has reached its ultimate limit. Well, let me tell you, you are wrong! Look at you after surgery, is this still the case? After TAO bilateral orbital decompression: Notice anything? Yes, the upper eyelid is so high that it exposes a white sclera above the cornea, which we call “white out”. “In some patients, the eyelid does not follow the eye when the eye is turned downward, which is called “upper lid drop”. Therefore, upper lid retraction is an urgent need for surgical correction. Most patients with TAO have a tendency to have large eyes when they look down, too much exposure of the black eye when they look down, or even incomplete eyelid closure, which can lead to conjunctival congestion, exposure keratitis, and even corneal ulcers if not addressed, which can lead to vision loss. Therefore, for TAO patients, upper eyelid recession correction is the final step in making the eye “ordinary” again, and it is also the finishing touch. The ophthalmologists at Long March Hospital can cut away the spastic muscles that cause upper eyelid recession through an internal incision in the eyelid and quickly allow the patient to stop staring at the world. Appearance 1 week after Müller’s muscle resection in the right eye: it takes more than 3 months for the swelling to go down.