Ophthalmic plastic surgery or 'Oculoplasty' is the branch of ophthalmology that deals not only with the diseases of the eye, but also important structures around the eyes like eyelids, eyebrows, orbit and the tear system which are vital to the normal appearance and function of our eyes.
Common conditions needing ophthalmic plastic surgery: |
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Ophthalmic plastic surgery helps correct abnormalities of eyelids like:
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- Drooping of the lids (ptosis)
- In-turning (entropion) of lid margin
- Out-turning (ectropion) of lid margin.
- Lid deformities resulting from trauma.
- Problems related to excessive watering from the eyes.
- Patients who suffer paralysis attack often have difficulty in eyelid closure, which can also be dealt effectively.
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Aesthetic Surgery:
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Our eyes are by far considered by many to be the most important feature on our face. Overtime, their beauty can be greatly reduced by ageing, creases and eyebags. The aesthetic aspect of ophthalmology deals with rejuvenation and enhancement of facial features with the help of various surgical and non surgical methods.
Some of the procedures include Botox injections, which is a simple non surgical treatment for wrinkles around eyes, forehead and crowlines. With ageing, one may start noticing hollows and folds around eyes which occur due to loss of tone and sagging of tissues around the eyes. For this fillers like Hyaluronic acid gel are injected in problem areas. These procedures are simple, convenient and results are visible immediately.
Almost everyone develops sagging around their eyes. Loose excess skin or weak muscle can cause upper lid sagging. Also bags may develop under the eyes with age. The procedure called blepharoplasty is performed for such a condition. Incision in the eyelid is small and is hidden in the natural eyelid skin crease.
Loss of an eye as a result of trauma or surgery used to leave the person with a disfigured face and much emotional trauma in the past. But with advances in modern ophthalmic plastic surgery, these patients can now be rehabilitated to a great extent cosmetically by means of socket surgeries and custom made artificial eyes.
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Ocular Oncology
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Cancers are known to arise from structures inside the eye as well as in tissues around the eyes like lids, conjunctiva or from soft tissues surrounding the eye within the bony orbit. Some common ocular cancers include Retinoblastoma, choroidal melanoma, choroidal hemangioma, eyelid tumors, conjunctival tumors and orbital tumors.
An ocular oncologist (an eye cancer specialist) can determine if you have an eye cancer by performing a complete clinical examination. The examination may include asking questions about your medical history, examining both eyes, looking into the eye at the tumor, doing an ultrasound examination, and obtaining specialized photographs. Biopsy is often indicated to diagnose tumors involving soft tissue structures around the eye.
Your doctor will recommend treatment based on your medical history and the findings from the eye examination. Many options are now available to deal with eye cancers. Surgery of the eye and periocular tumors is performed to establish diagnosis, remove the tumor in toto or sometimes to debulk the disease so that other modalities mentioned below can become useful.
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Chemotherapy
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| It is the treatment of disease by means of drugs that have a specific toxic effect upon the cancer cells. Chemotherapy selectively destroys cancerous tissue. |
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Cryotherapy
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| It is the use of freezing temperatures to kill the cancer cells. Cryotherapy is applied under local anesthesia. The goal of cryotherapy is to freeze the cancer cells and cause their destruction |
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Radiation therapy
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| It uses high-energy radiation from x-rays and other sources to kill cancer cells and shrink tumors. Radiation that comes from a machine outside the body is called external-beam radiation therapy as opposed to radiation that is administered by placing a radiation plaque over or very near to the tumor (internal radiation therapy or brachytherapy). External beam radiation therapy may be recommended for some lymphomas and orbital tumors. Radiation plaque therapy is recommended for retinoblastoma or choroidal melanomas. |
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Aesthetics:
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- Botox for various cosmetic and functional problems
- Fillers (Restylane) for periocular hollows and depressions
- Surgery to correct loose eyelid skin or eye bags (Blepharoplasty)
- Correction of sagging eyebrows: Brow lift
- Cosmetic Fat transfer procedures
- Treatment of scars
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Oncology: Types of Tumors Managed
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- Eyelid tumors
- Conjunctival tumors
- Ocular surface tumors
- Iris tumors
- Ciliary body tumors
- Choroidal tumors
- Orbital tumors
- Optic nerve tumors
- Retinal tumors including Retinoblastoma
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A tie up with a medical-radiation oncologist is arranged for patients needing chemotherapy and radiotherapy for comprehensive management of cancer patients.
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