Oculoplasty is reconstructive and cosmetic eye-plastic surgery to correct eye problems like Tumours, a watering eye, a disfigured eye, or a pure cosmetic enhancement.
Oculoplasty deals with all the structures surrounding the eyeball to preserve eye sight and also improve the normal facial appearance.
Some of these cases require co-management of ENT, Plastic, Neurosurgeons etc., and here at ASIAN EYE HOSPITAL & LASER INSTITUTE we have the unique facility for the same. ASIAN EYE HOSPITAL & LASER INSTITUTE can provide you with world class treatment, all under one roof!
Walk in to consult our team about the wide range of solutions available to you to restore your vision and appearance of your eyes.
Eye and facial plastic surgery can change your life by enhancing your features, restoring normalcy, rejuvenating your appearance, and most importantly, boosting your self-esteem!
Oculoplastic surgeons first train as ophthalmologists, when they learn in details about the eye. During further higher training, they start to handle plastic surgery. They have the best knowledge about the eye and its surrounding; as eye surgeons, they are also ready to handle the most delicate of structures. These include repair of droopy eyelids, repair of tear duct obstructions, orbital fracture repairs, and removal of tumours in and around the eyes. This combination of skills makes the Oculoplastic surgeons the best to do plastic surgery around the eye.
Oculoplastic surgery is the cosmetic, corrective, and reconstructive surgery of the eye. It manages and repairs problems primarily related to the tissues or structures surrounding the eye, rather than the eyeball itself. These structures include the eyelids, the tear ducts, and the orbit (bony socket surrounding the eye).
Blepharoplasty, also known as an eyelift, removes excess skin and fat in the upper eyelids and excess fat in the lower lids. The procedure can also be done on just the upper or lower eyelids. It may be accompanied by an eyebrow lift and cheek lift as well. This procedure is done for cosmetic beautification
Eyelids normally have a single row of eyelashes on the upper (average 150 lashes) and lower lids (average 75 lids), pointing outwards away from the eye. The spectrum of eyelid problems includes eyelid malposition, lid lacerations, and finally, inflammatory, benign and malignant conditions
Ptosis is drooping of the upper lid. It can occur as a result of birth defect, injury, muscle disorder, nerve disorder, or simply due to aging. It gives a sleepy appearance, and can even obstruct vision if severe. Ptosis may also cause excessive forehead wrinkling, abnormal head posture such as chin elevation, and eye fatigue. In children below 8 years of age, severe droop might obstruct development of vision leading to a lazy (amblyopic) eye thus reducing vision. In adults, droopy eyelid is mainly a cosmetic concern. Surgery can correct this problem by repairing the muscle that lifts the eyelid. Several surgical options are available, and the type of surgery used depends upon the severity of the droop. After evaluation, your specialist will decide which surgery best suits your need. Health insurance will cover the costs of ptosis surgery, if it was acquired later in life. Any congenital deformity (present since birth) is not covered by insurance.
Entropion is in-turning of the eyelid.The eyelashes rub on the eye and cause pain and watering; treatment is by surgery
Ectropion is turning outwards of the eyelid margin, causing redness and watering
where the patient cannot close his eye; this can cause danger to the eye,pain and infection.
Any of the orbital structures may give rise to a tumor; in addition, tumors originating from the surrounding paranasal sinuses, the brain and the nasal cavity may grow through the bone and invade the orbital confines. A wide variety of tumors may grow in the orbit. Tumors found in this region include optic nerve gliomas, orbital meningiomas, dermoids, hemangiomas, lymphangiomas, neurofibromas, sarcomas and metastatic lesions.
A fracture in the bones around the eye can cause double vision, and a sunken small appearance of the eye. The fracture is repaired with an implant or plate. The best results are obtained in surgery within 2 weeks of injury, but surgery can also be done later.For Orbit Surgeries:
Enucleation/ evisceration- A highly damaged eye may be replaced with an orbital implant;this restores the comfort and appearance.
Socket reconstruction- where the eye has been removed for a serious disease, the socket of the eye may get shrunken. The socket is reconstructed to improve comfort and appearanceFor Eye Socket Surgeries:
When an eye is lost due to disease or injury, an artificial eye (prosthesis) can be fitted in its place. The prosthetic eye cannot see, but can give a natural appearance to the patient. A customized prosthesis is manufactured for the patient, taking measurements from his socket, and matching the colouring exactly. So a customized prosthesis fits well, is comfortable, and looks very similar to the natural eye. Ocularistry is the art and science of manufacturing such an eye.
The Oculoplastic surgeon first assesses the damaged eye or socket. In some cases, prior surgery is required to make adequate space for the prosthesis to be fitted. In other cases, it can be fitted directly.
The movement and eyelid closure depends on the pre-existing condition of the eye socket.Usually the Oculoplastic surgeon will be able tell by examining you. Most patients gain conversational movement of the eye, though the prosthesis may not move into the furthest corners.
If an implant is placed deep in the socket during surgical correction, that is permanent. The prosthesis has to be removed and cleaned once in one or two weeks. This is a very simple procedure, and done very easily by the patent.
Yes, a child can be fitted with a prosthesis; in fact, it is recommended to stimulate the growth of the socket. It is very safe, and will not damage the other eye. A patient can do all usual activities except swimming. For a child, the prosthesis will need to be changed as the child grows.
The prosthesis is to be cleaned periodically. Once a year, come for a check-up to your Oculoplastic surgeon and ocularist. The socket will be examined to make sure it is healthy, and the prosthesis will be polished. If well maintained, the same prosthesis can be used many years. A protective glass of unbreakable fibre is recommended to be used – this is for the protection of the good eye.
Lacrimal : Comprehensive evaluation & management of watering
Dacryology deals exclusively with watering of the eyes and disorders of the tear Any disorders affecting this system can lead to impaired tear flow with resultant watering, infections (Dacryocystitis) and sometimes even orbital infections. DCR or dacryocystorhinostomy is a surgical procedure that creates an alternate new pathway for irreversible tear duct obstruction, thereby relieving watering. It can be performed via skin approach, or through the nose using special endoscopes. Tear duct surgeries are covered by Insurance.
Every eye has a fine pipe leading from the eye into the nose. This is like a drain-pipe, and the tears go into the throat through this pipe . This is called the nasolacrimal duct. A child may be born with a block in the naso-lacrimal duct; this condition is called congenital dacryostenosis. The water and sticky material come out of the eye, and the chil’d eyes appear to the tearing all the time. This condition is seen within a few weeks after birth.
Many of the children with congenital dacryostenosis will heal only with antibiotic drops and sac massage. The Oculoplastic surgeon will show you the correct technique of sac massage for your child. If the condition has not healed by 9 to 12 months, it will probably not respond to further massage and a surgery will be required.
The first step of surgery is called probing. It is very safe, can be done as a day-care procedure (night stay in hospital not required). There is no external wound or stitches, no bandage required, and normal activities can be continued from the next day.
The best results are achieved at about one year of age. Nine out of ten babies have the problem corrected if probing is done within this time. As the child grows older, success chances decrease to about 7 or 8 out of 10.
Each eye has a fine pipe which drains the tears from the eye. This is a nasolacrimal duct(drain-pipe of the eye). If it gets blocked, the tears and stickiness come out of the eye. The treatment is by dacryocystorhinostomy (DCR). This is a technique by which a new passage is created from the eye into the nose, and the tears can drain out.
When a nasolacrimal duct is blocked, the dirt and discharge accumulate in the lacrimal sac next to the eye. There is the risk of severe eye infection if the condition is left untreated. There may be swelling, pain, and watering. If a cataract surgery is planned, a blocked nasolacrimal duct increases the risk of dangerous infection; a DCR should be done before the cataract surgery.
Thyroid disease can have a serious effect on the eye. The eye develops a bulging look; the patient can have itching and burning, discomfort, corneal ulcers, double vision, and even loss of vision.Our thyroid eye disease clinic monitors the eye health regularly, so that any danger to the eye is prevented. By injection and surgery, the changes done by the disease can be reversed back to normal.
'Facial Aesthetics' involves surgical as well as non-surgical cosmetic treatments for facial Rejuvenation. It offers procedures that make you look younger or rejuvenated to reflect the internal you!
Ophthalmologist are specially trained for these kind of cosmetic surgeries around the eyes Moreover since majority of aging changes occur around the eyes, an ophthalmic plastic surgeon can better address these issues through hidden incisions behind the eyelid.
Botulinum clinic hemifacial spasm, essential blepharospasm, wrinkle treatment. Due to action of muscles around the eye, the eyes can go into spasm – where the face and eyes twitch; patient is not able to open the eyes comfortably. This can be treated safely and effectively by injection of botulinum toxin.
Botulinum toxin can also be used to treat wrinkling and aging around the eye.Cosmetic Surgeries:
The muscles of facial expression and the eyelid are normally under our voluntary control. Facial spasm is a condition in which these muscles function abnormally and are no longer under the direct control of the brain. It can affect the entire face, or just the area around the eyes. Four distinct forms of facial spasm are known: Benign Essential Blepharospasm, Hemifacial spasm, Meige syndrome, and Myokimia. Though the actual problem within the nerve is not fully understood and cannot be cured, its effect on facial muscles can be controlled by injections of Botulinum toxin, a 10 minute out patient procedure.
There are a whole range of situations when emergency treatment is needed for the eyes.Injuries around the eyes may need to be assessed and treated by an Oculoplastic surgeon. Trauma around the eye commonly involves the eyelids but may also affect the tear duct (fine canaliculus) and the orbit. Cheek bone injuries (Maxillary bone) can affect the nasolacrimal duct (wide tear duct). Young people are more commonly involved in accidents, often sport related. These can include: