Oculoplasty
Ptosis (Drooping Eyelid)
This refers to a droopy eyelid which may be one sided or both. The eye looks smaller and sometimes the person has a perpetually sleepy look. This patient is often born with ptosis, though the difference in the two eyelids becomes more apparent when the child is 2-3 years old. Congenital Ptosis is correctable by surgery which is usually performed when the child is 4-5 years old.
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After
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Dacryo-Cysto Rhinostomy
Congenital Naso-Lacrimal duct blockage ( Child with a watery eye)
Sometimes children have a watery sticky eye due to blockage of the pathway which drains the tears of the eye into the nose ( NLD ). In most cases the duct opens up by the time the child is 8-9months. One needs to keep the eye clean and massage as the doctor advises. In cases where it doesn’t spontaneously open by 1 year of age, a procedure of syringing and probing may be required.
NLD block in adults
Duct blocks in adults are usually due to infections. In the acute cases, it may be corrected by antibiotics. The chronic cases usually need surgical correction. This surgery is called Dacryo-cysto Rhinostomy ( DCR) and maybe done externally (conventional DCR), Through the nose ( Endonasal DCR) and using a Laser ( Laser DCR)
Sometimes children have a watery sticky eye due to blockage of the pathway which drains the tears of the eye into the nose ( NLD ). In most cases the duct opens up by the time the child is 8-9months. One needs to keep the eye clean and massage as the doctor advises. In cases where it doesn’t spontaneously open by 1 year of age, a procedure of syringing and probing may be required.
NLD block in adults
Duct blocks in adults are usually due to infections. In the acute cases, it may be corrected by antibiotics. The chronic cases usually need surgical correction. This surgery is called Dacryo-cysto Rhinostomy ( DCR) and maybe done externally (conventional DCR), Through the nose ( Endonasal DCR) and using a Laser ( Laser DCR)
Eyelid Surgery
Eyelid malpositions (Entropion, Ectropion)
The eyelids may have malpositions like Entropion where the margin rolls in such that the eye lashes rub against the eyes and cause irritation. This needs to be surgically corrected since it can cause corneal irritation and infection.
The eyelids may have malpositions like Entropion where the margin rolls in such that the eye lashes rub against the eyes and cause irritation. This needs to be surgically corrected since it can cause corneal irritation and infection.
Before
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After
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The condition where the eyelid margin rolls out away from the eyball is called Ectropion. This may be due to injury, VIIth Nerve (Bell's) palsy or due to looseness of the eyelid caused by aging changes. It causes watering and redness of the eye, sometimes significant enough to require surgical correction.
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Lower lid Ectropion
After corrective surgery
Socket Reconstruction
Socket contraction/deformities may either be congenital or due to trauma/removal of eyeball because of tumour or gross disfigurement.The socket needs to be reconstructed, both in volume and area so that a good prosthesis fitting may be done.
Painful, disfigured blind eye following failed corneal graft.
Prosthetic fitting done after removal of disfigured eye (Evisceration + implant).
Prosthesis fitting after removal of eye
The eye might need to be removed following injuries or a tumour in the eye. Prosthesis fitting is then done after 4-6 weeks
The eye might need to be removed following injuries or a tumour in the eye. Prosthesis fitting is then done after 4-6 weeks
After enucleation for Malignant melanoma
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With prosthesis
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Orbit and eyelid trauma
Blunt trauma with a large stone
One week after repair