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Orbital augmentation is a surgical procedure designed to enhance the anatomy of the orbit, the bony cavity that contains the eyeball and its supporting structures. This intervention is primarily indicated for patients with conditions such as traumatic injuries, congenital deformities, or certain medical disorders that lead to orbital volume loss or deformity. The cause of orbital augmentation may include a variety of factors, such as trauma resulting from accidents or sports injuries that compromise the integrity of the orbital bones, congenital anomalies like hypotropia, or orbital tumors that necessitate resection and reconstruction. Furthermore, it can be employed in reconstructive surgery following conditions like thyroid eye disease, which can lead to abnormal tissue expansion, resulting in bulging eyes or asymmetrical appearances. The procedure aims to restore normal orbital contour and volume to improve both aesthetic outcomes and ocular function. Patients typically present with a range of symptoms that may include visible displacement of the eyeball, an eye that appears protruded or bulging (a condition known as exophthalmos), diplopia or double vision due to misalignment of the eyes, discomfort, and in more severe cases, impaired vision or the sensation of pressure in the ocular region. Prior to surgery, a meticulous assessment through imaging studies like CT scans or MRIs is essential to delineate the extent of orbital involvement and to plan an effective surgical approach. Surgical techniques often involve the use of biomaterials or autologous (self-donated) tissues to augment the orbital volume. Common materials include hydroxyapatite, silicone, or polymethylmethacrylate, which can be molded to fit the specific requirements of the patient's anatomy. The procedure requires a high degree of skill and precision, as the orbital area is situated near critical structures such as the optic nerve and the associated vasculature. Post-operative care is vital for monitoring any potential complications such as infection, hematoma formation, or changes in eye movement. The recovery phase may involve the use of medications to manage discomfort and to minimize the risk of infection, along with follow-up appointments to assess healing and any necessary adjustments. Long-term results can significantly improve the patient's quality of life, addressing both functional impairments and aesthetic concerns, and restoring confidence in their appearance. Ultimately, orbital augmentation represents a complex interplay between anatomy, surgical intervention, and rehabilitative care that underscores the need for a multidisciplinary approach to achieve optimal outcomes for individuals affected by orbital abnormalities.