Exophthalmos is a rather evident bulging of the eye out of its orbit. Etiology is due to different causes such Graves disease, infective, vascular, tumors, pseudotumor, malformative, etc. The aim of this study is to present our experience in the treatment of exophthalmos. 74 patients affected by different orbitopathies since 2004 involved in a multidisciplinary approach and followed by the “Orbital Team”. Ages ranged from 30 to 75 years (mean, 40.7 years). 57 female and 17 male. More of the orbitopathy due to dysthyroidism for a total of 61 patients. 25 patients underwent surgery. The surgical approach was performed according to the patients pre operative status and the exophtalmos etiology. All patients warned an improvement of their status in the post operative period, specially the patient with apical crowding, his sight improved from 1/10 to 6/10 in the left eye and from 3/10 to 9/10 to the right eye. The complications that mainly occurred in the immediate post operative period were: conjuctival chemosis, palpebral edema, enophthalmos, proptosis, temporary compromission of the infraorbital nerve. Our studies on ‘exophthalmos’ are intended to highlight the extremely varied causes of this disease, and to underline the importance and necessity of a multidisciplinary approach in the treatment of this disease.

Conflict of interest: None declared.