Nonsurgical management of diplopia after orbital decompression surgery

Orbital decompression is frequently performed in patients with thyroid eye disease. The indication for an orbital decompression in most patients is threatened visual loss from corneal exposure or optic neuropathy. One of the more common complications associated with orbital decompression is the development or worsening of diplopia. Often times, surgical intervention for strabismus is delayed after orbital decompression and in these cases, nonsurgical management of diplopia is invaluable to the patient. Nonsurgical management can include occlusion therapy, prism therapy, or even botulinum toxin injections into the extraocular muscles.