Oculoplasty

Oculoplasty

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The Oculoplasty and Orbit Service at Advanced Eye Hospital and Institute (AEHI), Sanpada, near Vashi station focuses on functional and therapeutic disorders of the eyelids, orbits, and lacrimal drainage system. It also takes care of cosmetic enhancement of the eye zone and help people achieve their real beauty (eyes, lids, upper cheeks, brow and forehead).

What is Oculoplasty?

Oculoplasty deals with the plastic surgery around the eye: droopy eyelids, eyelid bags, puffy eyelids, disfigured eyes and beautification of the face. Watering eyes, involuntary spasm of the eyelids and face are all conditions treated by an oculoplasty specialist.

Broadly, the oculoplastics specialist at AEHI treats the following group of disrders:

1.      Ocular Oncology:

Oncology refers to the branch dealing with cancers. Ocular oncology is the branch that deals with cancers of the eye. These cancers of the eye can be tumours of the eyelid such as basal cell carcinoma, squamous cell carcinoma, malignant melanoma and other such tumours. The treatment of these tumours is highly specialized especially when they are found in the vicinity of the eye. A trained oculoplastic surgeon can treat the tumour without damaging the structures around the eye, retaining maximum function of the eyelids and preserving the aesthetics.

Other ocular tumours treated include intraocular tumours such as retinoblastoma, choroidal melanoma, choroidal metastasis, lymphoma, choroidal osteoma and a host of other conditions.

Surface or conjunctival tumours such as ocular surface squamous neoplasia are also under the domain of an ocular oncologist.

2.      Eyelid surgery:

Eyelids can have a variety of deformities such as droopy eyelids, eyelid bags, puffy eyelids, in-turned eyelid margins and the like. Children are sometimes born with droopy eyes – this condition is called congenital ptosis and needs to be surgically treated to prevent visual complications. The various eyelid conditions include:

I.               ptosis

II.              entropion

III.             ectropion

IV.            lagophthalmos

V.             blepharospasm

VI.            epiblepheron

3.      Orbital Surgery

The orbit refers to the bony socket inside which the eyeball and the muscles (extraocular muscles)  are situated. Orbital surgeries involves surgeries to repair the trauma of the bony orbit and also to remove tumours situated behind the eye but within the orbit. Orbital surgeons need to have a greater understanding of the orbital anatomy and surgical spaces since the access is limited. In conditions such as thyroid orbitopathy, orbital decompression surgeries performed are also under the purview of the oculoplastic surgeon.

4.      Facial Aesthetics

Aesthetic surgery refers to all procedures done to enhance the beauty of the face. Here facial rejuvenation procedures are performed keeping an emphasis on minimally invasive treatments and ensuring that the results look as natural as possible. Procedures are tailored as per the needs of the patient to ensure maximum benefits, naturally! Procedures performed include lid-lift ( to correct aging, sagging eyelids and to correct the excess hooding of skin on the upper lids), lower lid blepharoplasty (to correct the lower eye lids bags and fat prolapse). Botulinum tox (Botox) injection is also given to smoothen fine lines or wrinkles. Dermal fillers are substances which are injected into the skin to help fill in the wrinkles and thereby restoring a smoother appearance. They not only smoothen but also add volume to the face. A combination of two or more procedures can be done to obtain a remarkable youthful look which is strikingly beautiful and natural.

5.      Lacrimal surgery

The lacrimal system largely consists of the lacrimal gland that produces tears which moisten the surface of the eye; and the “ducts”  or tubes that drain tears from the eye into the nose. The most common symptoms of lacrimal system problems include watering or excess tearing (to the point that tears might run down the face) and mucous discharge.

Common problems include blockage of the nasolacrimal duct. However, the blockage in the drainage apparatus may be situated anywhere from the eyelids (punctum) right up to the nasolacrimal duct opening. Depending on the site of blockage and the age of the patient, various surgical procedures are performed, namely:

i.                    Syringing / irrigation and nasolacrimal duct probing

ii.                  Dacryocystorhinostomy

iii.                Dacryocystectomy

iv.                Punctoplasty

v.                  Canalicular trephining

vi.                Endonasal dacryocystorhinostomy

6.      Ocular Rehabilitation

Often times as a result of childhood trauma or infection, an eye can become disfigured and such eyes may be unsightly and cosmetically unacceptable. As a part of cosmetic rehabilitation, the surgical procedures performed include enucleation surgeries and evisceration. Enucleation and evisceration are procedures used to remove a diseased eye. During an evisceration surgery, the contents of the eye (inside) and the cornea are removed, but the sclera or the outer covering of the eye, remains. During an enucleation the entire eyeball is removed and the lost volume is replaced with an implant. Following completion of the healing process, an ocular prosthesis or a shell is placed. This ocular prosthesis resembles the natural colour and details of a normal eye and this prosthesis fits over an orbital implant and under the eyelids. 

 
The institute has excellent surgical theatre which is fitted with an advanced operating microscope, surgical light, surgical loupes, Endonasal endoscope, bipolar cautery and Elman Radio frequency cutting-coagulating system. It is a unique specialty that relies on a surgeon's technical, artistic skill and ability. Our surgeons are qualified to perform aesthetic and reconstructive procedures in and around the delicate eye structures.

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