ORBIT & OCULOPLASTY
Do You Have Continuous Watering In Eyes?
Could be the case of Orbit and Oculoplasty
ORBIT & OCULOPLASTY
Orbit and Oculoplasty is a sub-specialty of ophthalmology that involves diagnosis and management of a variety of conditions involving orbit, eyelids, tear ducts and face
There are 2 Major categories of Oculoplasty
- Ocular Ailments
- Aesthetic Treatments
OCULAR AILMENTS
Many eye diseases have no early symptoms. They may be painless, and you may see no change in your vision until the disease has become quite advanced.
some of the common eye disorders are
- PTOSIS (Abnormal Eyelid Position)
- THYROID DISEASE
- TURNING OF EYELID(ENTROPION & ECTROPION)
- EYE WATERING
AESTHETIC TREATMENTS
AESTHETIC TREATMENTS focuses on the restoration and aesthetic procedures around the eye and the surrounding area such as the forehead, brow line and cheek. the goals of AESTHETIC TREATMENTS are to reduce the signs of ageing and improve facial features. through both surgical and non-surgical techniques, wrinkles, drooping eyelids, darkness under the eyes and loose puffy skin can be treated successfully.
We at Bangalore Nethralaya deal with correction of :
- Abnormalities of eyelids – ptosis, ectropion, entropio, lagophthalmos.
- Abnormalities of lacrimal system and tear ductabnormalities
- Abnormalities involving the orbit, eye socket and area of face around eyelid
- Tumours/cancers of eyeball
- THYROID ORBITOPATHY
Why Bangalore Nethralaya?
We have well qualified oculoplastic surgeons who have vast experience in this sub-specialty and render their best service to the patients. We are well equipped with the facilities required for the treatment of ailments in Oculoplasty and Ocular Oncology.
Our operation theatre is well equipped to treat all diseases related to orbit, Oculoplasty and ocular oncology.
PTOSIS : (Abnormal Eyelid Position)
Drooping of upper eyelid can be present from birth or occur at a later age. The cause of drooping can be a weakness of the muscle or affection of the nerve supply to muscle.
A weakness of the muscle can be corrected by surgery.
Treatment for Ptosis :
a) FRONTALIS SLING SURGERY
If the eyelid muscle is very weak, the forehead muscle (Frontalis) is utilized to lift the eyelid.
It is connected to the eyelid by a sling which is usually made of medical grade silicone.
Incomplete closure of the eye mostly during sleep is expected post operatively
b) LEVATOR PALPEBRAE SUPERIORIS
This is the muscle which is most important for lifting the upper eyelid. If muscle is weak, it is strengthened. If the muscle is displaced from its normal position, it is reattached. A second sitting for readjustment might be required in some patients to correct an overcorrection or under correction.
TURNING OF EYELID
a) INWARD TURNING OF EYELID ( ENTROPION )
If the eyelid margin is turned towards the eye, eyelashes rub against the cornea and cause severe distress.
Temporary relief is obtained from lubricants, taping of eyelid and Injection Botox. Surgery is done to bring the eyelid to its normal position and stop rubbing of the eyelashes.
b) OUTWARD TURNING OF THE EYELID (ECTROPION)
With age, the muscle around the eye become loose and it may result in the eyelid falling away from the eye. This may also occur because of scarring. An outward turned eyelid exposes the outer layer of the eye(conjunctiva) which causes redness and irritation. Also increased watering from the eye as a normal position of lid is of utmost importance in drainage of tears.
Surgery is done to correct the loose eyelid or correct the scarring.
WATERING EYE
A) WATERING IN ADULTS:
It can be because of abnormal position of eyelid or due to tear duct blockage.
If blockage is suspected the doctor will perform a procedure called syringing wherein a fine tube is placed in the tear drainage system to check for blockage . It is performed in the clinic. A blocked tear duct can be treated with surgery.
The operation is called a Dacryocystorhinostomy(DCR) . A stent maybe placed during the DCR surgery which is removed at 3-6 months.
B) WATERING IN INFANTS:
In an infant it is mostly due to blocked tear duct. Proper technique of massage is advised which helps in clearing the blockage. Consultation with the doctor for correct technique of massage improves outcome.
If massage does not help your child, the doctor will advise you regarding Probing . A fine probe is passed through the tear duct to unblock it.
How do we provide Aesthetic Eye Care?
prosthesis:
We strive to give you the best possiblecosmetic outcome with custom made prosthesis for anophthamic sockets, microphthalmia or contracted sockets
LOOSE EYELIDS OR BAGGY EYELIDS :
With age the eyelid skin becomes loose. It forms an overhanging fold in the upper eyelid and deep creases in the corner lid. The slack skin and muscle allow the cushioning eyelid fat to protrude forward giving the appearance of eyelid bags.
Treatment for Loose Eyelids & WRINKLES:
We have experts for treatment of wrinkles and deep expression lines on face treated with Botox .
Botox injections are administered to treatcrow’s feet, glabellar wrinkles & frown lines.
Conditions treated with Botox Injection
- Essential Blepharospasm ( twitching of both eyes)
- Hemifacial spasm (twitching of one half of the face )
- Meigs syndrome
TRAUMA & INJURY
We at Bangalore Nethralaya handle orbital fractures, eye lid tears and all types ocular injuries.
THYROID ORBITOPATHY
People with thyroid disorder can face problems offorward protrusion of eyeball, eyelid retraction,decreased vision. We at Bangalore Nethralaya take care of these patients by regular comprehensive eye evaluation focused at treating thyroid eye disease.
Evaluation includes:
- Comprehensive eye evaluation including measurement of proptosis.
- Colour vision test
- Visual field test with Humphrey field Analyser
- Dry eye evaluation
- Evaluation of double vision
- Medical treatment for redness and congestion of eyes
- Corrective procedures for lid retraction
- Orbitotomy to correct forward protrusion
