What is the major surgical treatment for the graves ophthalmopathy?
Decompressive orbitotomy.
Pronounced enlargement of all extraocular muscles more prominent rectus muscles on both sides, bilateral proptosis, orbital medial wall, and floor orbitotomy, apical crowding and decreased optic nerve sheath complex width in proximal to middle segments due to the compressive effect of enlarged extraocular muscles are seen. Esodeviation of both eyes and intraocular lens implant in the left eye is also noted. Bulge of the enlarged muscles within orbitotomy defects in both side orbital cavities medial wall and floor is seen.