An update on endoscopic orbital decompression.

Area of Science:

• Ophthalmology
• Neurosurgery
• Otolaryngology

Background:

• Endoscopic orbital decompression is a dynamic surgical field with ongoing advancements.
• The procedure has evolved significantly over the past century, with new indications emerging.

Purpose of the Study:

• To provide an updated review on optimizing patient selection and surgical timing.
• To highlight recent modifications in surgical techniques for endoscopic orbital decompression.
• To evaluate achievable surgical outcomes and complication rates.

Main Methods:

• Literature review focusing on recent advancements in endoscopic orbital decompression.
• Analysis of patient selection criteria and disease pathology.
• Evaluation of technological modifications and their impact on surgical technique.

Main Results:

• Improved patient selection, understanding of disease pathology, and technological advancements correlate with better outcomes.
• Evolving surgical techniques and training aim to reduce complications and enhance results.
• A balanced approach to orbital decompression is generally associated with the most favorable outcomes.

Conclusions:

• Orbital decompression has undergone substantial evolution.
• Careful patient selection, precise surgical timing, and appropriate indication are crucial for success.
• Leveraging technology can significantly improve outcomes and reduce complications in endoscopic orbital decompression.