Medial Orbital Decompression

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Medial orbital decompression or endoscopic orbital decompression is an advanced sinus procedure designed to increase the space in the skeletal area around the eye, called the orbit. Our Houston, Texas sinus surgeons are board-certified and board-eligible Otolaryngologists (ENT) and fellowship-trained Rhinologists. Dr. Arjuna Kuperan and Dr. Shawn Allen each possess the skill and experience needed to perform successful orbital decompression procedures.

Why is Medial Orbital Decompression Performed?

The primary purpose of medial orbital decompression is to provide relief from severe orbital proptosis or exophthalmos, which is the medical term for a bulging eye. This procedure is recommended most often for patients suffering from an inflammatory thyroid condition associated with Graves Disease; medial orbital decompression can relieve symptoms of thyroid eye disease, such as chronic pain, headaches, and loss of vision.1

How Does Endoscopic Orbital Decompression Work?

Preparing for Your Procedure

A consultation with one of our sinus surgeons is your opportunity to learn more about this procedure and determine if you are a candidate. The doctor will review your medical history, perform an examination, and may order additional testing in order to create a treatment plan for you.

Your Orbital Decompression Procedure

Medial orbital decompression is typically an outpatient procedure in which the patient is treated with general anesthesia. The procedure is performed endoscopically, which means there will be no external incisions or visible scars. Your surgeon will access the orbital area through the nose and will use specialized tools to remove the medial bones in order to create orbital space.

What to Expect During Recovery

You may experience mild, temporary discomfort or swelling immediately after your procedure. You will need to take it easy for at least one week after medial orbital decompression and you will be restricted from strenuous activities for at least two weeks.

Contact My Houston Surgeons

At My Houston Surgeons, we are committed to providing high-quality care in a personalized setting. If you are seeking advanced sinus surgery in Houston, we can help. Contact us to learn more about orbital decompression or to schedule your appointment.

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1 Gibson A, Kothapudi VN, Czyz CN. Graves Disease Orbital Decompression. [Updated 2020 Sep 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from:

The Doctors at My Houston Surgeons have either authored or reviewed and approved this content. Page last updated:


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Our highly-skilled staff and doctors are dedicated to understanding your concerns and providing the best personalized treatment options available. Whether you seek cosmetic, reconstructive, or sinus surgery, our goal is to provide excellence in treatment and compassion in care.

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