Oculoplasty

Entropion

Entropion is an inversion or inward turning of the eyelid margin. It leads to misdirection of eyelashes resulting in irritation, discomfort and damage to the surface of Eye.

Symptoms and Signs

  • Redness
  • Irritation
  • Watering
  • Damage to Cornea - Abrasions and Ulcer

Treatment

  • Surgical Correction
  • Botox Injection- in Cases of Spastic Entropion
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Ectropion

Ectropion is a condition where the Eyelid turns outwards. This leads to damage to the ocular surface due to prolonged exposure. Causes - Lid Laxity, Facial Nerve Palsy, Scarring, Burns.

Symptoms and Signs

  • Redness
  • Irritation
  • Watering
  • Itching

Treatment

  • Surgical Correction

Ptosis

Condition where the Upper Eyelid is droopy leading to inadequate opening of Eyes. Causes - Congenital, Age Related- Weaking of Muscles, Trauma, Neurogenic

Symptoms and Signs

  • Cosmetic Disfigurement
  • Reduced Vision
  • Lazy Eyes- Ambyopia

Treatment

  • Surgical- in Most Cases
  • Medical / Pharmaceutical- Neurogenic
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Eyelid Mass and Tumors

Eyelid Masses can be present on either of upper and lower lid and can range from a benign mass to a malignant Tumour. It may involve partial thickness or full thickness of the Eyelid.

Symptoms and Signs

  • Mass Effect
  • Mechanical Ptosis
  • Bleeding
  • Cosmetic Disfigurement

Treatment

  • Surgical- Full Thickness Excision with Eyelid Reconstruction.

Orbital Tumor

Orbital Mass can be Benign lesion and also can be a malignant one, they can arise from different components like Blood Vessels, Nerve Sheaths and Fat.

Symptoms and Signs

  • Protruded Eye
  • Decreased vision
  • Cosmetic disfigurement
  • Brain Involvement

Treatment

  • Surgical - Orbitotomy with excision of the Mass all at once is the treatment of choice.
  • Chemotherapy - This may follow the surgical excision for incomplete excision or may be done prior to reduce the size of the mass.
  • Sclerotherapy - Used for Widespread Tumors.
  • Radiotherapy
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Lower Eyelid / Under Eye Bags (Fat Prolapse)

Lower Eyelid Bags are commonly observed in Elderly Men and Women, and the most common causes are :

Symptoms and Signs

  • Age Related Weakening of Eyelids
  • Weakening of Fat Supports in the Lower Eyelids
  • Thyroid Eye Disease
  • Genetic Predisposition
  • Surgical Management
  • Lower Eyelid Scarless Blepharoplasty

Upper Eyelid Blepharoplasty

It is a widely growing popular surgery for Upper Eyelids, in cases of Loose skin folds and swelling over the eyes due to fat prolapse.

Symptoms and Signs

  • Dermatochalasis
  • Fat Proplapse
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Botox Treatment

Botox

Neurotoxin, that acts on the Neuromuscular junction used for Therapyof Blepharospasms, Hemifacial Spasms, Spastic Entropion and Lacrimal Gland.

Cosmetic applications- Facial Wrinkles, Crow Feet Appearance, Glabellar and Forehead Lines, Jawline Contouring and Neck Lines.

Effect- seen in 7 to 10 days post application and lasts for 4 to 6 months, depending on the conditions.

Fillers

Dermal Fillers are a popular cosmetic procedure used to address various concerns related to Facial Aging and Enhance Facial Features. These injectable substances, often made of Hyaluronic Acid or Other Biocompatible Materials, Can Add Volume, Smooth out Wrinkles, and Improve Facial Contours.

Symptoms and Signs

  • Wrinkles
  • Nasolabial Folds
  • Tear Trough
  • Scar Reduction
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Trauma

Eyelid Tear - Eyelid Tears may be caused due to blunt / sharp trauma. This may lead to damage to the tear duct, Meibomian glands and the Eyeball.

Symptoms and Signs

  • Bleeding
  • Permanent Cosmetic Disfigurement
  • Infection
  • Canalicular Tear
  • Persistent Watering

Treatment

  • Surgical - Laceration Repair

Orbital Fractures

Orbit is the space which encloses the Eye, Adjoining Muscles, Nerves and Vascular System. 7 bones make the Orbit, and it is very common that the bones surrounding the orbit are damaged or fractured following a blunt trauma. Blow out fracture of floor is most common.

Symptoms and Signs

  • Double Vision
  • Hypo / Hypertropia - Deviation of Eyes due to Defect in the Bony Orbit.
  • Cosmetic Disfigurement
  • Pain in Movements and Restriction.

Treatment

  • Orbital Fracture Repair - with Plates and Mesh.
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Artificial Eye

An Artificial Eye or a Custom fit prosthesis is a custom made prosthetic replacement of the Natural eye. Its appearance is similar to the Natural eye and is curated in a way that there is hardly any difference that can be spotted. Materials used may be Silicon or Acrylic.

Advantages

  • Facial Symmetry
  • Cosmesis
  • Protection from Dust and External Environment

Procedure

  • Generally, an Artificial Eye can be made after an Enucleation procedure for damaged or non-functional eye to create an adequate space for placing an implant, over which the Artificial Eye is made. Every 6 months polishing may be required with frequent cleaning.

Dacryocystitis

Dacryocystitis is a disorder of drainage of Lacrimal pathway. It is caused by blockade of the Nasolacrimal duct.

Symptoms and Signs

  • Constant Watering
  • Discharge
  • Welling Over the Lacrimal Region ( Inner Part of The Eye)

Treatment

  • Probing - Infants and Young Children
  • DCR Surgery - Endoscopic / External - Adults
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Bruns and Skin Grafting

Burns, can be caused either by chemicals, fire or organic materials such as chuna.

Symptoms and Signs

  • Skin Contractures
  • Ectropion - Cicatrical
  • Fibrosis
  • Sympblepheron
  • Corneal Ulcers

Treatment

  • Scar Release
  • Skin Grafting
  • 5 FU Injections