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deals with eyelids, orbit, tear ducts, structures surrounding the eyes

Orbit and Oculoplasty

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Oculoplasty is a sub speciality in ophthalmology that deals with eyelids, orbit (bony socket), tear ducts (lacrimal system) and structures surrounding the eyes (ocular adnexa). Oculoplasty surgeons are eye surgeons who get additional training in ophthalmic plastic surgery after finishing their residency and are specialized in periocular plastic and reconstructive surgeries. They are a vital link between eye surgery and facial plastic surgery. We have our fellowship trained Orbit and Oculoplasty Surgeon Dr. Ruchi Pherwani who is well verse with latest oculoplasty management procedures & protocols. Department of Orbit & Oculoplasty at AFEH is fully equipped with modern diagnostic and therapeutic techniques, modular operation theatre exclusively dedicated for oculoplasty procedures with operating microscope, surgical lights, surgical binocular loupe with head light, radiofrequency cut coagulation system with unipolar and bipolar cautery & endonasal endoscope. Our hospital have services for radiology (CT scan/X ray/DCG), microbiology and histopathology.

Disorders of eyes treated in Orbit and Oculoplasty Department

Eyelid

A. Abnormal eyelid positions

  • Droopy eyelids (Ptosis) – surgical correction by silicon sling/LPS muscle resection/conjunctivomullerectomy
  •  Surgical correction for Ectropion/Entropion
  •  Lagophthalmos –tarsorrhaphy/Gold weight implant
  •  Eyelashes rubbing the cornea (Trichiasis)- electroepilation/surgery

B. Benign Eyelid conditions (Excision with Radiofrequency cautery)

  •  Lumps over eyelids (chalazion/cyst)
  •  Painful swelling over eyelids( stye)
  •  Skin tags/warts
  •  Nevi
  •  Yellowish deposits over eyelids(xanthelesma)

C. Eyelid cancers (incision biopsy and reconstruction)

  •  Squamous cell carcinoma
  •  Basal cell carcinoma
  •  Sebaceous gland carcinoma

D. Eyelid defects by birth or after injury (loss /tear of eyelids)

  • Flaps
  • Grafts- split skin/ full thickness skin grafts
  •  Chemical injury – mucous membrane grafts
  •  Medial canthoplasty
  •  Lateral canthus reconstruction

Asethetics

  • Periocular rejuvenation with botox/filler injections
  • Upper lid and lower lid blepharoplasty
  • Brow plasty
  • Mid face lift

Lacrimal

watering eye due to blockage of tear ducts (chronic dacryocystitis)

  •  Dacryocystorhinostomy (External/Endonasal DCR +/- Intubation Surgery)
  •  Dacryocystectomy (DCT Surgery)

Orbit

  • Orbital Infections
  • Orbital Inflammation
  • Orbital Tumors (excision/incision biopsy)
  • Thyroid Orbitopathy (medical and surgical management)
  • Orbital Fracture repair (with titanium/prolene mesh)

Painful Blind Eye

  •  Evisceration with ball implant
  •  Enucleation with ball implant
  •  Exenteration – Extended/lid sparing

Socket

Anophthalmic socket rehabilitation with a prosthetic eye

  • Ball implants/Dermis fat graft
  •  Secondary ball implant
  •  Increasing size conformers
  •  Stock shell
  •  Custom made shell
  •  Exenteration Prosthesis

Facial Dystonias

  •  Blepharospasm
  •  Hemifacial spasm