Oculoplasty is the science of plastic surgery around the eye. It also denotes the cosmetic correction around Eye. The eyeball is a fragile structure, which is protected from harm by eyelids in front and the bony cup (socket) behind. Neera Eye Hospital provides a comprehensive assessment of and surgical management of cosmetic corrections in the Eyelid, and orbit and tear drainage system.

Common ailments need Oculoplasty intervention

• Drooping of the eyelids( Ptosis)
• Entropion(in-turning) or Ectropion(out-turning) of the lid margin
• Watery eyes due to blockage of tear draining duct or eyelid laxity
• Artificial eye (prosthesis)
• Congenital anomalies of the Eyelids
• Deficiency of eye at the time of birth or due to an injury
• Tumors of the Eyelid
• Protrusion of the Eyeball due to a tumor in the Orbit
• Thyroid Eye Disease
• Deformities following injuries
• Fractures of the Orbit
• Eyelids mal-position
• Burns of the Eyelids
• Blepharoplasty, Botox injection, filler injections
• Socket reconstruction

Eyelid Anomalies.

Ptosis is drooping of the upper lid. It may be present by birth or appear later in life. Ptosis is usually corrected by surgery.

Causes of Ptosis

Ptosis results from a weakening of the muscle responsible for raising the eyelid or from damage to the nerves that control the muscle. In most cases, ptosis may simply be caused by loose skin on the upper eyelid. most of the time, the reason for ptosis is quite troubling. In addition to the possibility of the disorder occurring as a congenital condition, or as a consequence of an injury or surgery.

Ptosis may be caused by:

• Growth in the eyelid, such as a style
• Bell’s palsy
• Stroke
• Myasthenia gravis
• Horner syndrome
• Benign or malignant tumor

Treatments of Ptosis.

At Neera, Eye Hospital provides treatment of Ptosis, a well-planned Surgery is the best treatment for drooping eyelids. In Surgery tightens levator muscles to lift eyelids, giving you improved vision and appearance. In very severe cases involving weakened levator muscles, Surgeon attaches the eyelid under the eyebrow. This directly allows the forehead muscles to substitute the levator muscles in lifting the eyelids.

Entropion– Entropion is in-turning of the eyelid. the eyelashes rub on the eye and cause pain and watering; for which the treatment is by surgery

Causes

• Aging can lead to entropion. As the person ages, there is a lot of loose skin around the eyelids, which weakens the muscles under the eye and the tendons and ligaments in the area relax
• The other contributing factor is the scarring of the skin.scarring could be from trauma, surgery,radiation to the face or chemical burns. this leads to the change in the natural curvature of the eyelids
• Congenital issues can rarely be from the time of birth.

Treatment

Eye drops or artificial tears may soothe some symptoms in the case of mild cases.

• Botox :-Injecting botox into the lower eyelid is a method to relax the lid muscles and prevent them from contracting inwards.
• Surgery:-Several types of surgery can treat entropion.

The department is well equipped with diagnostics and team of professional which provide excellent care in Oculoplastic services.

Authored By Dr. Neera Agrawal