Introduction: The orbit is a multidisciplinary surgical field. Due to this fact, we have an orbital-team in our university since 2018.
Aims: We would like to present our surgical cases, operated with medial orbital or optic nerve decompression between 2018-2024.
Methods: The indications of surgery were sight-threatening Graves’ orbitopathy (GO), corrective surgery for permanent exophthalmos, bening or malignant tumors compressing the orbital content or the optic nerve and a case of optic nerve sheath cavernous hemangioma. The medial orbital and optic nerve decompressions were exclusively done by the transnasal endoscopic way.
Results: We have operated more than 60 medial orbital decompressions and 8 optic nerve decompressions since 2018. The postoperative improvement in visual acuity was significant compared to the preoperative one and stayed stable in most patient with GO. The reduction of proptosis was also significant in the exophthalmos group. The change in visual acuity was variable in the tumor group, but in most cases we observed an improvement
Conclusion: The orbit is a relatively small anatomical space, we think, multidisciplinarity is the only way to treat it’s pathologies.