Assessing the Role of Compression Eye Patches for Orbital Surgery: A Comparative Analysis of 10 Patients Undergoing Bilateral Orbital Decompression Surgery.

Introduction Postoperative eye patches are commonly used in orbital surgery to prevent bruising and edema, but there are only a few studies on their usefulness. We have performed bilateral orbital fat decompression as a surgical treatment for thyroid eye disease, which is very useful for relieving orbital pressure and improving functional and cosmetic outcomes. In this study, we compared the postoperative outcomes of patients with and without a postoperative compression eye patch and evaluated its effect on postoperative status based on bilateral orbital fat decompression. Methods This retrospective study analyzed 10 patients (five with compression eye patches and five without) who underwent bilateral orbital fat decompression surgery at Oculofacial Clinic Tokyo. A transconjunctival approach was employed, with no sutures used for wound closure. Outcomes, including retrobulbar hemorrhage, bruising, wound healing, edema, and patient-reported comfort, were assessed through photo documentation and clinical follow-ups at 24 hours, one week, and one-month post-surgery. Results Both groups exhibited comparable outcomes with no significant differences in postoperative bruising, edema, or complications. No retrobulbar hemorrhage, infection, or wound dehiscence was observed in either group. Patients without compression eye patches reported higher comfort levels and greater satisfaction with their postoperative experience. Visual acuity and intraocular pressure remained stable, and all patients experienced reduced proptosis. Conclusion The findings suggest that compression eye patches may not be essential in the postoperative care of orbital fat decompression surgery. Their omission improves patient comfort without increasing complications, providing evidence to reconsider their routine use. Large prospective studies are required to confirm these findings and refine postoperative care protocols.