What is oculoplastic surgery?
Oculoplastic surgery is the corrective and reconstructive surgery associated to conditions affecting the eyes and surrounding areas. This includes eye lifts, cheek/lower eyelid restoration, tear trough filler (TearFill) and skin care. Skin tumors in and around eyes are also managed and treated with oculoplastic surgery.
Who is oculoplastic surgeon?
Oculoplastic surgeon is a well-trained and skilled ophthalmologist who has an expertise in oculoplastic surgery. The ophthalmologists in Amritsar therefore are well-aware of the anatomy of the eye and its eyelids and are therefore suited to work around the eyes. The eye hospitals in Amritsar are well-equipped to provide the best services to the patients there.
Eyelid tumors are abnormal growths found on the eyelids. These growths may be benign or malignant. A variety of benign growths occur, including duct cysts, inclusion cysts, and styes and chalazia. One of the major causes of skin cancer on the eyelid is sun exposure. Many skin cancers can occur on the lid. These include basal cell carcinoma, squamous cell carcinoma, melbomian (sebaceous) gland carcinoma and melanoma.
Excess skin on upper eyelids:
The surgical procedure done to remove excess skin and fatty tissue from the upper eyelids, is known as “lid lift” or upper lid blepharoplasty. Prolonged exposure to sun, allergies, smoking etc can cause skin to become over the eyelids. There may also be a hereditary component associated to it.
In many cases, this excess skin can give the eyes a tired look. Extra effort may be needed to keep one’s eyes fully open. In extreme cases, the excess skin can hang over the eyelid, interfering with vision and causing chronic skin irritation.
Upper eyelid blepharoplasty is an outpatient procedure. The incision is strategically made along the lines of natural creases in the eyelid. Because these incisions are concealed in the natural contours of the eyelid, the line is typically not visible.
Lower lid blepharoplasty is a surgery performed to remove the excess fatty bags and skin from the lower lids. A fine incision is made just below the eyelashes. This incision may be extended if correction of lower lid laxity is needed. Tiny stitches are placed to secure the tissue at the conclusion of the procedure. These stitches will be gently removed the following week.
Blocked tear ducts:
For the eye to function properly, they must be kept well lubricated. A functional tear film is formed by a combination of different components that are each individually produced by different glands in the tear duct system. This tear film is crucial to protecting the delicate surface of the eye, keeping the eye comfortable, and maintaining vision.
However, if there are too many tears covering the eye, this can cause problems. Patients with excess tearing will often notice: blurred vision, constant tears, redness and skin irritation from constant dabbing of tears, and infections.
Any abnormality in the lacrimal system may cause excessive tearing of the eyes or under production of tears which may cause dryness. In some cases, drainage of tears may not occur properly.
Thyroid eye disease: This condition can cause inflammation and associated swelling of the muscles that allow the eye to move in different directions. Since each muscle does not swell in equal proportion, it may result in double vision or blurred vision. The thyroid levels of a patient should be evaluated. Even if the thyroid gland is functioning properly, there may be findings of some eye disorders related to the thyroid. Careful expert monitoring of any changes in vision, eye pressure, lid retraction or proptosis (bulging eyes) should be done on a routine basis in patients with known thyroid disease. In addition, careful examination of the back of the eye to look for changes in the optic nerve should also be done. Visual field (peripheral vision) testing should also be done regularly. In some cases, orbital decompression, eyelid surgery or orbital surgery may be required.
Entropion: This is an eyelid disorder that occurs when the upper or lower eyelid and eyelashes turn inward towards the eye, causing the lashes to rub against the surface of the eye, therefore causing irritation.
Relaxation of eyelid tissue due to aging changes, chronic infections with scarring on the inner surface of the eyelid, traumatic eyelid injuries, tumors are some of the causes of entropian.
Ectropion:- This is the condition of the eyelids which causes the eyelids to turn outwards. This causes the surface of the eye to be exposed, which can cause dryness and irritation. Often the edge (margin) of the lower lid is red. One or both eyelids can be affected by ectropian.
In this condition, relaxation of eyelid tissue due to changes occurring due to aging, untreated skin cancers or skin disease, trauma or injury, contraction of scar tissue of the surrounding skin, eyelid or facial surgery can also occur secondary to facial nerve palsy.