A wide variety of surgical and non-surgical procedures are performed by Oculoplastic Surgeons. These may be performed in the Office, minor procedure room or Operating theatre as indicated. Anasthesia required include topical creams, regional local anesthetic injections or general anaesthesia. Your Oculoplastic surgeon will provide details of the above as indicated on clinical examination.
The following list is not meant to be exhaustive but highlights some of the common procedure provided by your Oculoplastic Surgeon. More complex and extensive procedures may be performed as a multidisciplinary approach along with other surgical teams.
All procedures around the eyes may be associated with potential risks and complications which include but are not limited to the following: bleeding, infections, visual loss, overcorrections, undercorrections, need for repeat procedures, risks of anaesthesia and other complications. Ask your Oculoplastic surgeon regarding the risks, benefits and complications of these procedures.
Aging and paralysis of the upper face may result in droopy forehead and eyebrows resulting in descent of the heavy eyebrow tissues exacerbating a preexisting droopy / baggy upper eyelid which may affect visual function. A browlift may then be indicated to reset and stabilize the forehead/eyebrows, often performed before or during upper eyeid surgery. Incisions for these may be placed anywhere from the upper eyelids, above the eyebrow, the forehead region, infront of the hairline or behind the hairline.
Growths of the eyelid margin and adjacent region are frequently encountered in young healthy adults and the elderly population. While a vast majority of them are inflammatory or benign, requiring conservative management or simple procedures, not infrequently these may be a form of eyelid cancers (Basal cell carcinoma, Sebaceous gland carcinoma, Squamous cell carcinoma, Melanoma, etc) which may require an extensive work up with more radical surgical removal with reconstruction.
Indications: Symptomatic partial or complete tear duct obstructions with recurrent tearing, infections, etc.
Other procedures that may be performed for tearing based on the nature and level of tear drainage system narrowing and/or obstruction include:
A common condition from injuries from falls, assaults, road traffic and industrial accidents, repair and reconstruction may be indicated for persistent deformities or its consequences: limitation of eye movements resulting in double vision, sunken eyes (enophthalmos), etc. Complex orbitofacial fractures are commony managed along with a craniomaxillofacial or plastic surgeon.
These are procedures performed either to obtain a diagnosis with biopsy of the orbital soft tissues (eg lacrimal gland, orbital fat, extraocular muscle or other infiltrative tumors) or more commonly as a therapeutic procedure (complete removal of benign orbital tumors).
These are performed in patients who require their eye balls to be removed for various reasons: severe infections, untreatable cancers in the eye, irreparable globe injuries, blind and disfigured or painful eyes, etc.
The above listed procedures are only a brief list of the range of various Eye Plastic Surgeries performed by your Oculoplastic Surgeon and not meant to be exhaustive. Please contact your doctor for more details regarding the potential risks, benefits and complications – both major (which may include death, blindness, double vision etc) and minor (bruising, swelling, infections, residual deformity, etc).
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