Indications of Oculoplasty Surgery

• Blocked Tear Duct: It is also known as the tear drainage problem. An annoying, waterlogged eye can be an indication of a blocked tear duct.
• Ptosis: It is a condition of droopy eyelids that looks like sleepy eyes.
• Entropion and Ectropion: This indicates an inverted and everted condition of eyelids. It can be caused by damage of tissues around our eyelids. It can lead to persistent watering and irritation of eyes.
• Graves’ Orbitopathy: Also recognised as Thyroid Eye Disease (TED). People with uncontrolled thyroid suffer from this disease.
• Proptosis: When eyeball bulges outside of the orbital socket. Causes may any growth in the orbit such as: tumours, thyroid orbitopathy, pseudotumour etc.


• Note: If you are suffering from any of these conditions, then you must visit our Oculoplasty unit.

Types of Oculoplasty Surgeries

As the name suggests, it is a range of plastic surgeries that helps to rebuild the eye and the associated areas.

• BLEPHAROPLASTY: Also known as Eye Lift surgery. There are two parts of the operation, upper and lower blepharoplasty.
• ECTROPION and ENTRIOPION SURGERY: These types of surgeries are carried out to correct the inverted or everted state of the eyelids. This repair is done when entropion or ectropion causes corneal irritation (by eyelashes), constant epiphora (watering of eyes), severe pain and irritation.
• DACRYOCYSTECTOMY and DACRYOCYSTORHINOSTOMY: This process is also known as Lacrimal sac surgery. This surgery helps to repair the drainage process of the eye to prevent excessive watering and discharge.
• EVISCERATION SURGERY: Evisceration is an advanced surgery of the eye where the intraocular contents of the eyes are removed by the surgeons keeping the white part (sclera) untouched. This type of surgery is performed to decrease the pain of severely injured or infected eyes.
• ENUCLEATION SURGERIES: An advanced eye surgery. It involves the whole eye removal followed by the reconstruction of the eye for better cosmesis.
• PTOSIS SURGERY:Plastic surgery that elevates your droopy eyelids.
• ORBITAL SURGERY: This type of surgery focuses on the re-formation of the eye. The eye includes the eyelids, bones, sockets, forehead, eyebrows, etc. The oculoplasty surgeons widely accept this surgery for the improvement of overall orbital deformity.
• https://www.willseye.org/medical-services/subspecialty-services/oculoplastic-orbital-surgery/
• Orbit, Oculoplasty, Ocular Oncology & Ocular Prosthetic Services, is a subspecialty of ophthalmology that handles anomalies of lids, lacrimal drainage system, extra ocular structures, bony orbit and other ocular adnexa. In the last 20 years, the clinic has seen over 377,000 patients and performed over 117,000 surgeries.
• The department has excellent support facilities, diagnostic equipment like Ultrasound A & B Scan, X-ray unit, CT scan, MRI (in collaboration), well established Ocular Microbiology, Pathology, Immunology and Genetic labs. Standard surgical theatre is provided with operating microscope, surgical lights, fiber optic light, bipolar and unipolar cautery unit, Ellman Radio frequency cutting- coagulating system, latest state of the art Navigation system and endoscopic surgery equipment with radiotherapy (in collaboration) and chemotherapy facilities.

Orbit

The Orbit Clinic receives a number of referrals encompassing both common and rare orbital disorders, tumours and infections. These are managed both conservatively (medical management/chemotherapy/ radiation) and surgically with tumour and the tissue being sent for biopsy and histopathological correlation. A large number of patients with thyroid related orbitopathy are also treated in collaboration with the general physician and endocrinologist on a daily basis.

Lacrimal system and Orbit

Nasolacrimal duct obstructions both congenital and acquired are routinely treated, with probing, balloon dacryoplasty, external/endonasal dacryocystorhinostomy and Conjunctivodacryocystorhinostomy with Jones’ tube placement. A number of patients with orbital pathology including orbital trauma are seen in the clinic. Orbitotomy with mass incisional/ excision biopsies and orbital floor fracture repair with implants (silicon, prolene mesh and osteopore) are commonly done. Orbital and wound exploration for foreign body and their removal are also expertly handled.

Orbit and Oculoplasty services are available at Aravind – Madurai, Chennai, Tirunelveli, Coimbatore, Pondicherry.

Oculoplasty

A number of patients are seen in the Oculoplasty clinic with a variety of eyelid disorders including malpositions (Ptosis, Entropion, Ectropion), benign and malignant eyelid tumours, facial dystonias etc. Congenital lid anomalies including lid coloboma, blepharophimosis, epiblepharon and euryblepharon are also surgically corrected. Surgical corrections for ptosis, entropion, ectropion, post traumatic lid tear / canalicular tear, eyelid reconstructions post tumour removal as well as number of cosmetic eyelid surgeries (e.g. Blepharoplasty) and injection of botulinum toxin (Botox) for facial dystonias and cosmetic indications are being performed.

Orbit and Oculoplasty services are available at Aravind – Madurai, Chennai, Tirunelveli, Coimbatore, Pondicherry.

Ocular Oncology

Adult and paediatric malignancies of eyelids, ocular surface, orbit and globe are diagnosed and managed in the Oncology clinic. Chemotherapy is administered for the relatively common Retinoblastoma, and other rarer ocular and orbital cancers both primary and as adjuvant to surgery and radiotherapy. Chemotherapy sessions are administered at Aravind, in consultation with an oncologist. A trained nurse attends to the patients’ needs while an experienced medical officer stops by for regular check-ups. The clinic is now a referral centre.

Ocular Oncology service is available at Aravind – Madurai, Coimbatore and Tirunelveli.

Ring of Hope

Ring of Hope fund provides free treatment and rehabilitation to patients suffering from eye cancer. Cancer treatment which includes diagnosis, genetic testing, surgery, chemotherapy and radiation can be a catastrophic event for any family, burdening them with debt. Ring of Hope also pays for travel and accommodation so that those costs do not become an obstacle to continuing treatment.

In some cases, Aravind can save a patient’s life, but not sight. Orbital cancers can cause disfigurement and blindness, destroying self-esteem and limiting active participation in the community. Aravind’s team of expert ocularists created 250 custom prostheses for patients who had an eye removed – roughly half of them were provided free through the Ring of Hope. The Ring of Hope also provides rehabilitation services and devices for patients who have low vision or are blind.

Ocular Prosthesis

Ocular Prosthesis is an artificial eye or aesthetic model of eyelids and globe which is fit for patients with phthisis bulbi or those whose eyes or orbital contents including globe have been surgically evacuated. During enucleation (surgical process of removing the eye), a silicone ball implant is inserted into the eye socket, to fill the area the eye once occupied. An ocular prosthesis is then moulded to fit in front of the implant. It occupies the space between the eyelids and the conjunctiva covering the implant. A silicone facial prosthesis is also fashioned in the department, for patients who undergo exenteration (removal of orbital contents long with the eyeball) for various oncological/ infective indications.

The Ocular Prosthesis Centre was established in 2004 and is equipped to cater to challenging cases with excellent results. It is now one of the leading centres in India for custom fitting of artificial eyes. Since inception, the centre has fulfilled the prosthetic requirement of over 10,220 satisfied patients. For patients with exenterated socket, silicone facial prosthesis is offered.

Ocular Prosthetics service is available at Aravind-Madurai only.

ORBIT & OCULOPLASTY

It is a unique department that adopts microsurgical techniques of ophthalmic plastic and facial surgery and offers specialized diagnosis, management and treatment for various diseases, deformities and disorders of the Orbit (the body cavity surrounding the eye), eyelids, lacrimal (tear) system, and the surrounding part of the fact in both adult and paediatric patients. Patients can also avail the services of the department for other surgical procedures to repair damage from trauma or disease including cancer, to treat congenital abnormalities at birth or that progress with age. Ocular Prosthetic services is an integral part of the department and it provides integrated, moulded artificial eye shells with cosmetic outlook to patients with damaged or disfigured eyes or painful blind eyes as part of our efforts to rehabilitate them. Added to this, facial aesthetics and cosmetology also strengthens the department wherein aesthetic and cosmetic considerations and its enhancement along with ageing problems of the patients are well taken care of and duly protected. The department also lays focus on Thyroid eye diseases and its timely management and treatment.

The OCULAR ONCOLOGY Department offers expert care in the treatment of various cancerous tumors of the eye and surrounding structures. The Ocular Oncology department is engaged in close interaction with the Ocular Surface Clinic for the management of tumors of the surface of the eye and management of orbital tumors. Oculoplasty and Orbit department performs: Orbit Procedures, Socket Surgeries, Ocular Oncology, Eye-lid surgeries, Lacrimal Procedures, Aesthetic and Cosmetic Procedures.

We have facility for in-patient and out-patient services and also effective access for pre-surgical counselling in appropriate cases. The department is ably supported by other departments like Ocular Pathology, Endocrinology, Orbital Radiology and Ocular Prosthesis Clinic.

OCULAR PROSTHETICS DEPARTMENT

A unique department specializing in the science, art and craft of fabricating and fitting of custom artificial eyes, or commonly called “Fake Eye”. Loss or disfigurement of an eye due to an injury, eye tumour or an infection inside the eye or a shrunken eye can be devastating and it invariably affects your aesthetic beauty. That apart, when the eye or its components are removed through surgical procedures such as Enucleation (removal of the entire eyeball) or Evisceration (removal of jelly-like portion inside the eye), it requires restoration with the fitting of a Custom Artificial Eye. It prevents the tissues in the eye socket from growing to fill the empty space. A prosthetic eye can improve the appearance of the affected eye socket. A prosthetic eye cannot restore vision.

This situation speaks volume of the necessity to know how important it is for prosthetic eye to be both beautiful and natural. Our Ocularist uses advanced art and sculpting techniques to create the most lifelike artificial eye with the most natural and wonderful appearance, ensuring world class quality.

Lastly, at dse Centre for Ocular Prosthetics, you can be rest assured that lifelike artificial eye is no more a teasing illusion or a promise of unreality, but a stark reality.

Oculoplastic, Orbital, and Reconstructive Surgery

For more than 70 years, the Oculoplastic, Orbital, and Reconstructive Surgery Service has served as a center of excellence at New York Eye and Ear Infirmary of Mount Sinai (NYEE). Our team members are among the most skilled specialists in the New York metropolitan area, with extensive experience treating a range of conditions involving the eyelids, eye socket, tear duct system, and face. Some of the procedures we do are medically corrective, some cosmetic, and others a combination of both, as in cases when we perform reconstructive as well as facial plastic surgery on a patient with a malignant tumor of the eyelid. Most procedures are done on an outpatient basis.

Through our status as a referral and teaching center, we are widely recognized for our ability to handle the most challenging cases, including orbital trauma and complex tumors. That capability is enhanced through our access to the full range of Ear, Nose, and Throat (ENT) specialists at NYEE, as well as to oncology, endocrinology, and other clinical departments at the Mount Sinai Health System. Our ability to understand the functional, reconstructive, and cosmetic relationships that exist between the eyes and the facial structures around them enables us to provide the safest and most appropriate treatments for our patient

Oculoplasty is the art and science of plastic surgery around the eye. The eyeball is a delicate structure, protected from harm by eyelids in front and the bony cup (socket) behind. Behind the eyeball run the nerves, arteries and muscles, which carry messages to the brain, move the eyeball, and provide nutrition to the eye. Oculoplasty deals with all these structures surrounding the eyeball.

Oculoplastic surgeons first train as ophthalmologists, when they learn in details about the eye. During further higher training, they start to handle plastic surgery. They have the best knowledge about the eye and its surrounding; as eye surgeons, they are also ready to handle the most delicate of structures. This combination of skills makes the oculoplastic surgeons the best to do plastic surgery around the eye.

Most advanced oculoplasty procedures are carried out at Bajaj Eye Care Centre such as

• Surgery for Ptosis (Correction of drooping Eyelids)
• Correction for Conginetal and Squired lid defects and anamolies
• Correction for Epicantlius, Entropion and Ectopion
• Blow out fractures