Oculoplasty & Facial Aesthetics

What is ophthalmic plastic surgery?

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.

What are the common conditions needing ophthalmic plastic surgery?

Ophthalmic plastic surgery helps correct abnormalities of eyelids like of the lids (ptosis), inturning (entropion) or out-turning (ectropion) of the lid margin. Treatment of lid deformities resulting from trauma comprises other common situations needing ophthalmic plastic surgery.

Problems related to excessive watering from the eyes may be because of blockage of the tear drainage system of the eye and these can be effectively treated with a simple surgery.

Patients who suffer paralysis attacks often have difficulty in eyelid closure, which can also be dealt with effectively.

Thyroid dysfunction is very common in our country, and it can lead to bulging of one or both eyes or an appearance of asymmetry between the two eyes. Treatment for this problem involves both medical and surgical options. Please consult your oculoplasty specialist at the earliest sign of thyroid-related eye problems.

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.

Ophthalmic plastic surgery and facial aesthetics

Our eyes are by far considered by many to be the most important feature on our face. Over time, 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 crow lines. 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, a filler like Hyaluronic acid gel is injected with an ultra- fine needle 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, even young people may have this problem. The procedure called blepharoplasty is performed for such a condition. The incision in the eyelid is small and is hidden in the natural eyelid skin crease.

Can cancer affect the eyes?

Yes. 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.

What are some common eye cancers?

Some common ocular cancers include Retinoblastoma, choroidal melanoma, choroidal hemangioma, eyelid tumours, conjunctival tumours and orbital tumours.

How is eye cancer diagnosed?

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 tumour, doing an ultrasound examination, and obtaining specialized photographs. A biopsy is often indicated to diagnose tumours involving soft tissue structures around the eye.

What are the current treatment options?

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

in the eye and periocular tumours is performed to establish the diagnosis, remove the tumour in toto or sometimes to deh4ulk the disease so that other modalities mentioned below can become useful.

Chemotherapy

is the treatment of disease by means of drugs that have a specific toxic effect upon the cancer cells. Chemotherapy selectively destroys cancerous tissue.

Cryotherapy

is the use of low temperatures to treat disease. Cryotherapy is applied under local anaesthesia. The goal of cryotherapy is to freeze the cancer cells and cause their destruction.

Radiation

therapy uses high-energy radiation from x-rays and other sources to kill cancer cells and shrink tumours. 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 the tumour (internal radiation therapy or brachytherapy). External beam radiation therapy may be recommended for some lymphomas and orbital tumours. Radiation plaque therapy may be recommended for retinoblastoma or choroidal melanomas.

Cutting edge technology

Ellman Surgitron Radiofrequency Unit for precise, bloodless and scar-free plastic surgeries

OPHTHALMIC PLASTIC SURGERY OCULAR ONCOLOGY LIST OF PROCEDURES

Eyelid

Eyelid malpositions

Surgery for Droopy eyelids (Ptosis)

Abnormalities of lid margin/ eyelashes: (Entropion, ectropion, trichiasis, distichiasis)

Eyelid reconstruction

Eyelid tumour management

Gold weight implants for inability to close eyelids (facial nerve paralysis)

Lacrimal system (treatment of watery eyes)

Surgery for nasolacrimal duct obstruction: Dacryocystorhinostomy Dacryocystectomy

Surgery for blocked canaliculi (tear drainage tubes): Conjunctivo- dacryocystorhinostomy

Probing for children having watery eyes since birth

Opening up of narrow tear drainage passages: Punctoplasty

Repair of injuries to tear drainage passages

Orbit

Orbitotomy for orbital tumours

Orbital fracture repair

Orbital volume augmentation

Surgery for bulging / prominent eyes: Orbital decompression

Optic nerve sheath decompression

Socket

Removal of damaged, diseased eyes: Enucleation / Evisceration with implant

Removal of orbital contents for tumour management: Orbital exenteration

Reconstruction of small, contracted sockets for the fitting of artificial eye

Custom artificial eye

Aesthetics:

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

Oncology: Management of eye tumours Types of Tumors Managed

Types of Tumors Managed

Eyelid tumours

Conjunctival tumours

Other ocular surface tumours

Iris tumours

Ciliary body tumours

Choroidal tumours

Retinal tumours including Retinoblastoma

Orbital tumours

Optic nerve tumours

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