Oculoplasty

Oculoplasty

Oculoplastic Surgery, also known as Ocular Plastic and Reconstructive Surgery, is the cosmetic, corrective, and reconstructive surgery of the eye structures to treat a broad range of conditions. These include the eyelids, the eye socket, the soft tissues that surround the eyes and the tear system. These structures can be affected by injuries, infections, tumours, by birth or by problems related to aging.

When does one need corrective surgery or oculoplasty ?

You need to see an Oculoplasty Specialist at Shekar Eye Hospital 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.
  • •Growths or tumours (cancer of the eye).
  • •Excessive blinking or uncontrollable eye closure.
  • •Twitches.
  • •Excessive wrinkles/skin folds around the 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 the appearance.

What are the treatment options ?

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 tumours 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.

What is usually done during cosmetic eyelid surgery ?

In an upper lid blepharoplasty, excess skin, muscle and fat may be removed. The upper eyelid crease may be enhanced. In the lower lid, fat responsible for the bulging, and sometimes a small amount of excess skin is removed. It is important that only a conservative amount of skin is removed, to avoid outward turning of the lower eyelids (ectropion) and retraction of the upper eyelids which may result in the inability to close the eyelids. (lagophthalmos). In younger individuals, a lower lid blepharoplasty may be performed through a transconjunctival approach. This means that in the lower lid, the bulges of fat may be removed from the inner aspect of the eyelid, to avoid external incision of the eyelids.

Will there be a scar ? What about stitches ?

Anytime an incision is made on the eyelid skin, a scar may result. However, fine incision lines can usually be hidden in the lid crease for the upper lid, and under the lashes in the lower lid. Keloid or hypertrophic scarring is quite uncommon in the eyelid and periorbital area, and can be modified with medications if necessary from 3-8 weeks after surgery. Scarring can also be avoided by good surgical technique and placement of fine sutures. Placement of sutures (stitches) depends on the preference of each individual surgeon. Absorbable sutures may be used inside the wounds to keep them from opening. These do not need to be removed, and get absorbed in time. Skin sutures may also be used, and they are generally removed in the hospital anywhere from 3-7 days.

Is oculoplasty painful ?

No. Local anaesthetic is injected into the eyelids before the procedure. There may be some initial discomfort due to the injection of the anaesthetic, but there is no pain during the procedure itself. An anaesthesiologist may be called to monitor the vital signs of the patient and to sedate or keep her comfortable throughout the procedure.

Shekar Eye Hospital offers Oculopasty treatment for a wide variety of eye problems to patients .

Jp nagar

Address:

#633, 100 Feet Ring Road,

J.P. Nagar – 3rd Phase,

Bengaluru – 560 078.

Jayanagar

Address:

#27, 100 Feet Ashoka Pillar Road,

Jayanagar, 2nd Block

Bengaluru-560011