Transcaruncular Orbital Decompression: An Alternate Procedure for Graves Ophthalmopathy With Compressive Optic Neuropathy

The transcaruncular approach offers access to the medial and inferior wall for orbital apex decompression in Graves ophthalmopathy patients with compressive optic neuropathy refractory to pulse corticosteroids. Advantages over other approaches included no external scar, less damage to adjacent tissue, and wide exposure to the entire medial wall.