Oculoplasty, also known as Ophthalmic Plastic Ssurgery, is in relation to the eye and its surrounding structures; which may be performed to improve function, comfort and appearance for a variety of conditions such as:
Tear Drainage Problems Eyelid Malposition Skin Cancers of the Eyelid Disease of the Orbit (eye socket) Eyebrow Problems
Oculoplastic surgeons are eye surgeons who specialize in plastic and reconstructive surgery of the periorbital and facial tissues including the eyelids, eyebrows, forehead, cheeks, orbit (bony cavity around the eye), and lacrimal (tear) system.
They also treat cancer of the eyelid and other structures around the eye. Corrections of eyelids that are drooping (ptosis), as well as injections of Botox for cosmetic corrections, are given by Ocuplasty surgeons.
Oculoplasty Services available at Sri Sankaradeva Nethralaya
PTOSIS CORRECTION - Ptosis, also known as Blepharoptosis, is a drooping or falling of the upper eyelid. If severe enough and left untreated, the drooping eyelid can cause other conditions, such as Amblyopia or Astigmatism. This is why it is especially important for this disorder to be treated in children at a young age, before it can interfere with vision development. In older population, it can be corrected by tightening the muscles that raise the eyelid. Ptosis repair is performed through an incision in the normal crease in the upper lid.
ENTROPION/ECTROPION CORRECTION - Entropion is a condition in which the eyelid turns inward so that the eyelashes and skin rub against the eye surface. This causes irritation and discomfort. Ectropion is a sagging or outward turning of an eyelid margin. Ectropion most often affects either one or both lower eyelids. But it can affect the upper eyelid as well. An Entropion or Ectropion repair is an operation to correct an eyelid that turns in or turns out. The operation improves entropion and ectropion. Surgical repair of Entropion and Ectropion can generally be performed with local anesthesia, with or without intravenous (IV) sedation.
ORBITAL FRACTURE REPAIR - Fractures to the orbital walls commonly result after blunt trauma to the midface. The repair of orbital fractures involves fracture site exposure, freeing tissue prolapsed into the fracture site, and reapproximating the orbital wall support, usually with an implant.
DCR/DCT (DACRYOCYSTORHINOSTOMY / DACRYOCYSTECTOMY) – Dacryocystorhinostomy (DCR) surgery is a procedure that aims to eliminate fluid and mucus retention within the lacrimal sac, and to increase tear drainage for relief of epiphora (water running down the face). It is a type of surgery that is used to treat blocked tear ducts in adults. It creates a new passageway between the tear duct sac and the nose, bypassing the blockage and allowing tears to drain normally again. Dacryocystectomy (DCT) refers to a complete surgical removal of the lacrimal sac. Although it is a seldom performed procedure worldwide, it still has its place in the surgical world for certain specific indications like malignant lacrimal sac tumors. It is almost always performed through an external skin incision except in certain exceptional circumstances where endoscopic dacryocystectomy may be needed.
ORBITAL DECOMPRESSION – Orbital decompression is a type of surgery that removes the bones and sometimes the fat in the orbit (socket) of the eye. The most common reason for this surgery is thyroid eye disease (also often known as Grave's eye disease). Orbital decompression helps improve symptoms of thyroid eye disease and prevents further vision loss. People without thyroid eye disease who have similar symptoms may also need to undergo procedure. The overall goal of the surgery is to create more space in the eye socket to allow the eyes to move back to a normal position.
LID RECONSTRUCTION
Upper eyelid reconstruction is a surgical procedure used to correct lid defects of the upper eyelid that occur from surgical resection of tumors, trauma, or congenital anomalies like a coloboma. Restoration of the upper eyelid is much more complicated than the lower eyelid. Careful deliberation is necessary for the approach to reconstruction since the repair is highly dependent on the location and the extent of the defect.
NAVIGATION GUIDED OPTIC CANAL/OPTIC NERVE DECOMPRESSION – Optic nerve decompression surgery (also known as optic nerve sheath decompression surgery) involves cutting slits or a window in the optic nerve sheath to allow cerebrospinal fluid to escape, thereby reducing the pressure around the optic nerve. It is performed when optic nerve damage has occurred after trauma
ENUCLEATION & EVISCERATION WITH ALL TYPES OF IMPLANTS – Enucleation is the surgical procedure that involves removal of the entire eyeball (globe) and its contents, with preservation of all other periorbital and orbital structures. Evisceration is a surgical technique by which all contents inside eyeball are removed while preserving the remaining scleral shell, extraocular muscle attachments, and surrounding orbital tissue. These surgeries often include placement of a ball implant into the empty cavity to maintain appropriate orbital volume.
GRAFTS/ FLAPS – A “skin graft” is the transfer of a portion of the skin (without its blood supply) to a wound. A “flap” consists of one or more tissue components including skin, deeper tissues, muscle and bone. They are needed when a defect needs to be filled after surgical removal of cancer or trauma.
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