What is Oculoplasty?

Oculoplastic surgery is the cosmetic, corrective, and reconstructive surgery of the eye.

This department deals with various disorders of orbit, eyelids and Lacrimal system.
This department involves the socket in which the eye is placed and also the related structures around the eyes, like eyelid, eyelashes, lacrimal apparatus etc.

Causes & Symptoms

Following are the causes of developing any abnormality in ocular appendages-

  • Congenital
  • Trauma
  • Idiopathic
  • Secondary to any diseases
  • Advancing age

Symptoms

  • Watering
  • Post traumatic ecchymosis- bluishness of eye
  • Painful/ painless swelling in eye lids
  • Protruded mass from eyelids

Common disorders

Eyelid and eyebrow:

    • Eyelid malpositions
    • Ptosis
    • Eyebrow abnormalities- Trichiasis, distichiasis
    • Blepharoplasty
    • Eyelid tumor

Orbit:

    • Orbital tumours
    • Orbital fractures

Lacrimal System:
Any blockage in the pathway of tears.

Surgeries

  • Ptosis Correction
  • Dacryocystorhinostomy
  • Dacryocystectomy
  • Entropion Correction
  • Ectropion Correction
  • Orbitomy
  • Lids Reconstruction
  • Blow out Fracture Management
  • Thyroid Ophthalmopathy Management
  • Enucleation / Evisceration / Excentration

When to consult a doctor??

  • When there is severe pain in the eyes, or after any accident which has left an impact on the eye.
  • You should also consult a doctor if any of the above mentioned symptoms get hyped.
  • Or if any swelling that has been observed by the patient has grown in size, should report to the doctor.

OCULOPLASTY

What is Oculoplasty ?

Oculoplasty is a specialized branch of Ophthalmology, which focuses on abnormalities of the structures around the eye.Oculoplastic procedures refer to a large variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, extra ocular structures, other structures around the eye and the face. These procedures include repair of droopy eyelids, repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes.

Oculoplastic procedures frequently have both functional and aesthetic purposes.
For example, Blepharoplasty, a procedure for excessive and droopy eyelid skin, may improve peripheral vision as well as facial beauty and rejuvenation. It aims at improving function, comfort and appearance.

Causes & Symptoms

Following are the causes of developing any abnormality in ocular appendages-

  • Congenital
  • Trauma
  • Idiopathic
  • Secondary to any diseases
  • Advancing age

Symptoms

  • Watering
  • Post traumatic ecchymosis- bluishness of eye
  • Painful/ painless swelling in eye lids
  • Protruded mass from eyelids

Common disorders

Eyelid and eyebrow:

    • Eyelid malpositions
    • Ptosis
    • Eyebrow abnormalities- Trichiasis, distichiasis
    • Blepharoplasty
    • Eyelid tumor

Orbit:

    • Orbital tumours
    • Orbital fractures

Lacrimal System:
Any blockage in the pathway of tears.

Orbits / Eye Sockets

 

The eye socket contains the muscles that move the eye and the bones and fat that protects it. Occasionally, the socket may be affected by injury, inflammation, tumors, or by certain medical disorders. The consequences of an injury to the orbit may include deformity, double vision (diplopia) because of injury to the muscles that move the eye or displacement of the globe itself, or even loss of vision.

An Enucleation is the surgical removal of an eye is only done under drastic circumstances such as to remove a malignant tumor in the eye or to relieve intolerable pain in a blind eye. Following enucleation, an artificial eye (ocular prosthesis) is implanted as a cosmetic substitute for the real eye. Volume augmentation is required for better cosmesis, it is done with implanting intra orbital implant.

Evscerations

An Evisceration is the removal of the eye’s contents, leaving the scleral shell and extraocular muscles intact. The procedure is usually performed to reduce pain or cosmesis in a blind eye, as in cases of endophthalmitis unresponsive to antibiotics.An ocular prosthetic can be fit over the eviscerated eye in order to improve cosmesis. Intra orbital implants gives better motility to the prosthesis.

You need to see an Oculoplasty Specialist if you have any of the following conditions :

  • Droopy eyelids or eyebrows (Ptosis)
  • Blepharoplasty (Eyelift)
  • Eyelids turning in or out (Entropion / Ectropion)
  • Excessive watering due to tear duct or tear sac problems
  • Frequent prescription changes in glasses and contact lenses
  • Growths or Tumors (Cancer of Eye)
  • Excessive blinking or uncontrollable eye closure
  • Twitches
  • Excessive wrinkles / skin folds around eyes (Cosmesis)
  • Thyroid imbalance
  • Paralysis affecting the face
  • Anophthalmia – Loss of eye due to injury or infection wherein artificial eye fitting is needed, to improve appearance