The Orbit
The orbit is the bony space surrounding the eyes. It is actually composed of portions of seven different facial bones. Only the surface bones can be felt through the skin. Fat, muscles, and nerves are contained within the orbit and can be affected by a number of diverse entities. Tumors, infections, thyroid disease, inflammation and trauma all can cause damage to orbital
structures and create visual problems.

Some people with Grave's Disease, a type of thyroid disease, can develop characteristic bulging eyeballs. Bulging is caused by a buildup of fat in the orbit (eye socket) that can squeeze the eye muscles and eye ball. This can result in redness, pain, swelling, and double vision. In severe cases, vision may be impaired or lost.

Treatment options include:

• Eye drops or oral steroids often can relieve pressure, allowing the eyeballs to relax into the eye sockets.
• Surgery to remove a piece of bone from the side of the eye socket which creates a small reservoir into which the fatty buildup which has been pushing on the eyeball can recede.

It is essential that people with thyroid disease see an ophthalmologist with experience in treating orbital diseases to preserve their vision.

Lesions On or Near the Eyelid
Lesions (bumps) on the skin surrounding the eyelids are common. They may be caused by sun exposure or heredity. Lesions can be benign, precancerous or cancerous. The most common form of cancer on or around the eyelids is called basal cell carcinoma.

If you notice a new or growing lesion, it is important to have it checked by your doctor. Lesions can usually be removed with minimal or no scarring at all.