Functional and Medical Oculoplastics

Comprehensive Care

Eyelid Malformations

1. Ectropion (Outward-Turning Eyelid)
– The lower eyelid turns outward, exposing the inner surface.
– Symptoms: Irritation, redness, and excessive tearing.
– Treated by surgically tightening and repositioning the eyelid.

2. Entropion (Inward-Turning Eyelid)
– The eyelid turns inward, causing eyelashes to rub against the eye, leading to irritation and redness.
– Corrected through surgery to restore the natural position of the eyelid.

3. Trichiasis (Misdirected Eyelashes)
– Eyelashes grow inward or rub against the eye, causing discomfort and potential damage.
– Treated by removing problematic lashes or using laser or surgical techniques to stop regrowth.

Lumps, Bumps, and Small Lesions

– Removal of common eyelid growths, including styes, cysts, chalazia, papillomas, and skin tags.
– Biopsy and evaluation of suspicious lesions to ensure early detection of any malignancy.

Cancer Removal and Reconstruction

1. Eyelid Tumor Removal
– Specialized removal of benign and malignant tumors such as basal cell carcinoma, squamous cell carcinoma, and sebaceous gland carcinoma.
– Surgery focuses on removing the tumor while preserving eyelid function and aesthetics.

2. Reconstruction After Tumor Removal
– Reconstructive surgery restores eyelid structure and functionality after tumor removal.
– Tailored to achieve the best cosmetic and functional outcomes.

Functional Tear Duct Surgery

Lacrimal Surgery (Tear Duct Blockages)
– Treats blocked tear ducts that cause excessive tearing or recurrent infections.
– Dacryocystorhinostomy (DCR): A minimally invasive procedure to create a new tear drainage pathway.

Dry Eye Management

Punctal Plug Placement (PPL)
– Tiny plugs inserted into tear ducts to retain natural tears and relieve dryness.
– A quick, minimally invasive procedure.

2. Intense Pulsed Light (IPL) Therapy
– Phototherapy using light pulses to reduce inflammation and improve the function of oil glands in the eyelids.
– Particularly effective for dry eyes caused by meibomian gland dysfunction (blocked oil glands).

3. Artificial Tears and Prescription Medications
– Lubricating drops and medications to reduce dryness and inflammation.

Blepharospasm and Hemifacial Spasm

– Blepharospasm: Involuntary twitching or spasms of the eyelids, often treated with Botox injections to relax the muscles.

– Hemifacial Spasm: Involuntary spasms on one side of the face, treated with Botox or other interventions to reduce muscle contractions.

Facial Nerve Palsy Management

– Restores symmetry and function to the eyelids and surrounding areas affected by facial nerve palsy.
– Procedures include:
– Eyelid Weight Implantation: Helps the eyelid close properly.
– Canthoplasty or Lid Tightening: To address sagging and improve eyelid positioning.
– Botox: Reduces unwanted muscle contractions on the unaffected side for symmetry.