Best One Wall Decompression Surgery in India
One wall decompression is corrective surgery for a particular eye condition available at our clinics in India. The eyes are the most sensitive organ for any surgery and treatment of the human body. Especially when conditions are affecting eyesight due to certain factors. The eyesight of a patient can be affected due to pressure on the optic nerve or optic neuropathy. Therefore, it may be necessary to perform urgent orbital wall decompression surgery by top cosmetic surgeons to prevent any further loss of vision.
Orbital wall decompression surgery in India involves the removal of the bony walls of the eye orbit, and this removal creates extended space for the inflamed orbital tissues. In many cases, the process can help relieve the throttling symptoms of the optic nerve and may allow recovery of eyesight.
Mild eye proptosis or bulging on the eyes can be treated with lateral wall decompression, creating extra space by removing part of the outer (lateral) wall of the eye orbit. Removing the eye orbit wall has the lowest rate of complications. One wall decompression or two or more wall decompression in most cases can provide a useful reduction in the signs of thyroid-related diseases.
What Is The Need For One Wall Decompression?
Thyroid-related eye disease can cause orbital congestion in the eyes. If the symptoms of proptosis are minimal, one-wall decompression surgery is not suggested, instead, squint surgery or eye muscle surgery may be used to improve any double vision. Eyelid surgery is another option that can improve the appearance of eyelid closure.
For mild proptosis cases, one wall decompression alone can treat by taking advantage of the adjacent ethmoid sinuses at The Esthetic Clinics in India. Patients at our clinics in Mumbai are educated about the risks, benefits, and alternatives of the one wall decompression procedure including bleeding, infection, loss of vision, double vision, and need for any other surgery.
Why Does Thyroid-Related Eye Disease Occur?
Inflammation of the tissues of the eye socket of a patient can cause signs of thyroid-related eye diseases in the eyes. Inflamed tissues of the eyes can become swollen and congested causing the proptosis or sore/red eyes of the patient. Swelling of the eye muscles reduces the ability of the eyes to shorten and lengthen eyelids which affects eye movements.
What To Do To Prevent One Wall Decompression Surgeries?
At present, there are four factors known to affect the outcome of thyroid eye diseases which is why one wall decompression is needed. Two of the reasons are age and sex which are hard to change or control. The other two factors that can be controlled are thyroid gland activity control by regular checking by taking blood tests at clinics nearby and no smoking. In recent years it has become evident that smoking can seriously worsen thyroid condition-related diseases carrying a significant risk of blindness. Smoking is injurious for everyone, patients can visit clinics in India to get help which in turn may help avoid one-wall decompression surgery as well.
What Is One Wall Decompression Surgery?
One wall compression surgery is a surgery that involves the removal of one wall of bone kind of muscles surrounding the eye orbit to allow the eyes to have space for excess bulging orbital inflammation. Surrounding muscles of the eye including nerves and other tissues of fat all fit inside the skull’s eye orbit. This orbit further has its corresponding organs, the brain and sinuses in place in the front and below. Between both orbits for eyes lies the space for the nasal cavity and sinuses.
Every part of the skull has a fixed fit of muscles and tissues to function perfectly. Most of the supporting muscles of the jaw and surrounding orbits have just enough space for them. However, when a patient is suffering from a thyroid disease that is affecting their eyes, these muscles can expand in size. The expansion can make the eyes have lesser space to suffice inside the walls of the orbit forcing the excess mass to protrude from the eye ahead. This can give way to a bulging of the eyes.
One wall decompression surgery by our expert surgeon at The Esthetic Clinics can help the patient with such condition to get better with surgical intervention to make space for the excess muscle mass. The decompression essentially means taking the pressure away from the eyes because of the enlarged and swollen tissue beneath the orbit. The surgery will gently remove the bony part of the eye from one wall and make way for the rehabilitation. Making way for the proptosis symptoms of the eyes.
What Are The Risks Of Orbital Decompression Surgery?
Like every surgical incident, one wall decompression surgery is a serious surgery that can have various risks and complications lingering with it. Patients are supposed to permanently alter the natural construction of the walls of the orbit. Therefore, the decision to go ahead with the decompression procedure should be taken into consideration only after a detailed and thorough consultation with an expert cosmetic surgeon.
Here are some of the attached risks with the process of decompression:
Permanent loss of eyesight in the eyes with surgery or both of the eyes. However, the chances of loss of sight are rare but possible. A patient can choose to get one eye treated at one time to avoid the risk of losing sight in both eyes.
Blood thinners can cause critical danger to a surgical procedure. Therefore, most cosmetic surgeon would instruct their patients to stop regular medication used for thinning blood as early as 3-4 weeks before surgery. Heart patients would require a consultation with their cardiologist to make sure stopping the medication does not alter their health.
Bruising and swelling is a very common side effect of such surgeries especially when any sensitive organ is involved like the eyes. Swelling often subsides as time passes in the recovery phase.
Double vision can occur if it was not already a symptom or may worsen as an effect of this surgery in many cases. Again this is also a rare occurrence but is possible one wall decompression surgery complication. Scars resulting from the surgery will not be much visible as they melt into the laughing lines at the corner of the patients’ eyelids.
Wobbling vision is another condition that can impact and irritate the patient a lot. In many cases, the patient might experience a wobbling sight whenever chewing or eating anything after the surgery. However, this condition would often settle soon in almost all cases.
Risk of losing a life.
How Is One Wall Decompression Surgery Done?
After evaluation and assessment of the patient by an expert cosmetic surgeon, the surgery is performed under an anaesthetic. The patient might need to stay hospitalized for one night after the one-wall decompression surgery. The duration of the surgery depends on the severity of the case and whether wall decompression is needed in one or both eye orbits of the patient. The surgical operation can take around 3-4 hours depending on various factors.
Eyes are covered with a padded bandage after the surgery which is removed the next morning. Patients are given an oral antibiotics course by their cosmetic surgeon. Prescription of steroids and eye drops is often advised with an appointment scheduled for a follow-up visit in two weeks’ time.
The Thing To Keep In Mind Before Surgery?
Our team at The Esthetic Clinics will discuss everything that a patient has to take care of before their scheduled surgery for one wall decompression. Here are some of the precautionary things to note:
Putting all courses of blood thinners on hold and prescription or non-prescription medication that might thin the blood significantly before the scheduled time of surgery.
Consultation with other doctors, such as a family doctor or patient’s cardiologist.
Custodian arrangement and confirmation before the schedule of the surgery as the patient would need someone else to drive them home.
Aftercare & Recovery
Protective padded bandages are placed on the site operation. One of the best plastic surgeons would gently remove the pads before leaving for home.
The expert would also suggest suitable cleansers for face cleaning and maintenance following surgery.
Sleeping with an additional pillow might help to reduce bruising as well as swelling.
Driving needs to be avoided, notably with double vision episodes of after-effects.
The patient should be careful of their sensitive eyes and schedule an appointment for a general follow-up after 2 weeks of the surgery with our team at The Esthetic Clinics.
Dr. Debraj Shome and his well-appointed team of cosmetic surgeons and staff will do everything in their capacity to evaluate and start the treatment promptly. Cosmetic surgeries require dedicated expertise and quality treatment at a clinic of trust. Consult with our expert cosmetic surgeon in Mumbai for a better understanding of the surgical treatment and one-wall decompression surgery cost. Dr. Debraj Shome, heading the team at our clinics in Mumbai has world-famous expertise in cosmetic surgery. Make sure to visit our clinics in Mumbai to get one-wall decompression surgery treatment.
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Graves disease has robbed me
Marie-Louise Pawsey, a lifestyle and dating coach from Australia, who also suffers, like myself with Graves Disease has very kindly offered to share her story on The Thyroid Damsel.
Here is Marie-Louise' story!
Ten years ago, I was a newlywed. I’d met the man of my dreams a couple of years before, and we were fortunate to be living in Melbourne’s CBD in an apartment, unlike most of my friends and family.
During our first year or so, I’d had some issues with my eyes. I couldn’t explain it properly but they were sore, and I had vision issues. All my life my parents had gotten their eyes checked regularly; both wore glasses and my mum had had cataracts. So, I’d been getting my eyes checked every year since I was a teenager and I knew something wasn’t right. We weren’t living near my usual optometrist, so, I made an appointment with an optometrist nearby.
I was pretty much told that there was nothing wrong, but I knew there was, so I went to a second clinic, and was told a very different story but it still didn’t seem to really account for the issues I was having. Ugh!! So, I figured, I’d get a tie breaker, and went to a third. There, I was told that I needed glasses and they’d be prism lenses. I’d never heard of such a thing, but as I’d now had three very different stories, I did a fairly dumb thing, and I ignored them all. I battled on and just went about my business, planning my wedding, and my future. It’s amazing what you can put up with if you put your mind to it.
Six months later, we’d just moved into our new house. Within weeks I knew something was wrong. All the weight I’d been trying to lose in the leadup to our wedding was suddenly falling off, and I couldn’t figure out why. We’d moved from a one bedroom apartment to a three bedroom house, but I didn’t think that the extra walking around as I unpacked could have made such an impact. I didn’t even have much time to exercise since I’d given up the gym which had been in our apartment building, and now I had to commute 45min each way for work. So how was I shedding weight?
I started taking notice of everything. My appetite changed, I couldn’t sleep, but had heaps of energy, my heart race seemed to be that of a thoroughbred even as I woke in the morning, and I couldn’t concentrate on anything. And my eyes seemed to be getting worse all of a sudden.
So, I made an appointment with the GP I’d gone to for years- now that we were back in the area in which I’d grown up.
He’s amazing. I told him my symptoms and he immediately sent me to have blood tests to have my thyroid checked.
Within a week I was at an appointment with one of Melbourne’s leading Endocrinologists and the diagnosis was clear: I had Graves Disease.
When we’d moved, I’d taken a week off work to unpack, and during that time, I’d dropped in my old gym boss who had, on the spot, offered me part time work as a personal trainer. It was fine for a little while, but my diagnosis meant that I couldn’t demonstrate exercises I wanted my clients to do, or workout alongside them. So I had to adjust by demonstrating once, and then issuing instructions to them verbally. I also had to explain to them what was going on with me, which was scary and revealing, as I didn’t fully understand it yet.
I found I could eat anything I wanted and not gain weight, but I didn’t have much of an appetite. My husband had to beg and plead for me to eat, and sometimes he’d resort to spoon feeding me. Looking back, I’m sure that there were times when I was determined to put the surprise weight loss to good use and capitalise on it. Other times I gorged on chips and chocolate, revelling in the idea of not gaining weight. I was all over the place, mentally and emotionally.
But as the 15 tablets a day (14 x neomercazole and 1 beta blocker) kicked in, that all changed, and all the weight I’d lost came back with a vengeance. Alas, the snacking habit was a hard one to break, and it’s still one I battle now.
I also experienced trembling legs, increased bowel functions (spontaneously at times), anxiety, intolerance to heat (and I was diagnosed in summer so that explained why I complained more than others did!), erratic sleeping patterns and a myriad of eye problems that effected my work, driving and leisure time.
I’d gone to my original optometrist about my eyes and he’d recommended an ophthalmologist who diagnosed Thyroid Eye Disease. That explained a lot! The problem was that it meant that I’d need special glasses, (prism lenses, can you believe it?) and until they could get them, I wasn’t allowed to drive. I was the sole driver in the family, so that threw our whole routine out. We could no longer visit friends and family on the weekends if it meant driving and our shopping had to be done locally. All of this was a massive adjustment for us, and it caused a great deal of cabin fever for a couple who was used to going to the country every few weeks and being able to do normal day to day activities without restraint.
Not driving was a really good idea too, because despite being back in my old neighbourhood, I suddenly had memory problems. I found, and still find, that I could drive to the same place two days in a row, from the same starting point, and I’d get lost on the second day. I can envisage where I have to get to, and I know where I am, but can’t figure out a way to go, and even if I do figure it out, I’m uncertain about it. Google maps has become a very handy tool for me, but road works and detours completely throw me.
That’s okay now, but back then, I worked at night and drove across town to work. Fortunately, my boss was willing to adjust my hours, so I worked 4 longer nights a week, and was able to get there by train. This meant walking to and from the station, and anywhere else, which added a little more exercise into my routine.
I’d increased my exercise output, but was constrained to walking because I wasn’t allowed to get my heart rate up. I was never really able to convey the fear I felt about having a heart attack. I wore a watch with a pulse monitor and checked it repeatedly, but even when I wasn’t wearing it (in bed, in the shower) I could tell when it was high because my heart would race and then seem to stop. Ten years later, I still have those palpitations and when they become too regular, I go and get checked again.
I began walking 2-4 hours a day. It was one thing that helped me feel as though I had some control over the disease. I really put a lot of effort in, and changed my diet after seeking the help of a nutritionist.
I viewed some of these lifestyle changes as adventures. Certainly, going to work for 4 days was a nice change, and my increased energy meant that I didn’t struggle to work those 12 hours in a day. Seeing the world through a train window gave me new insight into those around me. But those things, I could take or leave.
Inside, however I was changed forever. I determined that I wouldn’t see myself as a victim, but went about making the necessary changes, and following instructions from my doctors.
Along with my endocrinologist, I had my optometrist, ophthalmologist, nutritionist, GP, and later I added a fertility specialising gynecologist. I did the rounds regularly, and it was an emotional and costly venture. The endo appointments need to be paid in full on the day, but are then reimbursed in part by Medicare. The appointment cost around $120 and I’d get about $70 of that back, if I recall. But that meant going to a Medicare (in the early days) office to lodge and claim. Those offices aren’t everywhere, so I’d tend to build up a few claims and do them all at once. So this meant that I was out of pocket all the appointment money until I could get to an office.
In Australia, not all tests are covered by Medicare, and it also depends on which doctor you go to, as to whether your appointment is bulk billed or not. Bulk billed means it’s free for the patient, but other places charge, usually $30-$60. When you factor in appointment costs, on top of medication costs, my extremely expensive glasses, money spent on healthy food, public transport when I was using it etc, all added up and my new life was costing me a small fortune.
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One such instruction that my endo issued was that we had to put our baby making on hold. We’d planned to move into our house, live there for a year or so to get used to married life, and then start having babies.
We were told that that plan was on hold until I was told otherwise. That was heartbreaking for me. I wasn’t someone who’d yearned for babies all my life, but now that I’d found my husband, I was keen for them.
Except that was a decision which was taken out of my hands.
For three years, I took my medications, walked and walked, ate, and managed my illness as well as I could, and finally, I received the news I wanted to hear: I was in remission.
I didn’t realise at the time, but I’ve been experiencing anxiety for a long time now. I’ve always been organised but wouldn’t have said I was a control freak, but now, if plans change too greatly, the effect on me is immense.
Over the years, I’ve realised that the disease has flipped my life completely, and if I could control anything- when the disease controlled me- it gave me a sense of balance. But there really is no balance. The disease is in control, and in some ways, the sooner I realised that the better. It wasn’t going to adjust to me, so I had to adjust to it.
But along the way, it robbed me of so much, and that’s something I struggle to accept, even today.
If you loved Marie-Louise' post as much as I did. You can follow her on social media and at her blog!
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