Occuloplasty

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Oculoplasty and Facial Aesthetic Services performed at KEC


Orbit and Oculoplasty is a distinct subspecialty of ophthalmology which deals with anomalies of the eyelids, orbit (bones behind the eye) and lacrimal (tear drainage) system.


The eyelids and structures around the eyes are critical for vision. Injuries, aging changes and tumors can cause pain, vision loss and disfigurement. Changes in the eye's appearance due to aging or the loss of an eye to disease/injury can decrease one's ability to interact in social settings and can decrease one's confidence and impair self-image.


Indications for an Oculoplasty consult and services offered at KEC :

Lacrimal Problems:

Persistent unexplained watering – May indicate punctal stenosis or a nasolacrimal duct /canalicular obstruction and/or involutional lid laxity.
Lacrimal System Trauma.
  

Eyelid Disorders:

Warts, Xanthelasmas, Cyst over the eyelids / periorbital skin.
Lid anomalies
    a. Involutional lid laxity
    b. Ectropion (outturned eyelids)
    c. Entropion (inturned eyelids)
    d. Involutional/congenital Ptosis (drooping of eyelids)
    e. Lid retraction (thyroid patients)
    f. Eyelash abnormalities (trichiasis)
Drooping of eyebrows (Brow ptosis)
Eyelid trauma with/without canalicular involvement – treated with reconstruction and canalicular stenting.
Eyelid tumours – treated by resection followed by reconstruction of eyelid.
Eyelid or facial squeezing disorders: blepharospasm, hemifacial spasm
  

Orbital disorders:

Painful blind eye/pre phthisical /phthisical eye – treated by Enucleation/Evisceration with Orbital implants followed by fitting with custom fit prosthesis(CFP).
Care of an anophthalmic socket – Fornix reconstruction, correction of lax lower lid, Socket reconstruction in case of volume deficit.
Orbital fractures – mainly blowout fractures of floor – need orbital floor reconstruction.
Orbital SOL/tumours - managed with appropriate orbitotomies.
  

Aesthetic Services:

Drooping/tired upper lids, Loose skin around eyes (upper lid/lower lid) with/without prolapse of fat – treated with blepharoplasty.
Wrinkles around the eyes and upper mid face – crows feet, frown lines, horizontal lines over forehead – treated with Injection Botox.
Periorbital hollows, shallow contours, facial creases – Facial rejuvenation with dermal fillers.