Oculoplasty & Ocular Oncology

Oculoplasty & Ocular Oncology

This subspeciality deals with eyelids, orbit, lacrimal system, thyroid eye disease, artificial prosthesis, ocular cancers ( Retinoblastoma, Lymphoma, Melanoma, Adnexal tumors, Rhabdomyosarcoma, Adenoid cystic carcinoma, Sebaceous gland carcinoma, etc ), ocular trauma, periocular and facial aesthetics.

Services regarding following disorders :

  • Congenital anomalies surgeries – Congenital lacrimal anomalies are abnormalities in the eye’s tear drainage system that develop during gestation. These anomalies can include fistulas, ductal atresia, and gland absence. 
  • Dacryocystorhinostomy with or without stenting – Dacryocystorhinostomy (DCR) surgery is a procedure that treats blocked tear ducts and chronic dacryocystitis. It creates a new passageway for tears to drain from the eye into the nose. 
  • Dacryocystectomy – A dacryocystectomy (DCT) is a surgical procedure to remove the lacrimal sac.
  • Lacrimal system tumor excision – A lacrimal system tumor is a tumor in the tear-producing glands under the eyebrows. They can be benign or malignant. 
  • Ptosis correction – Ptosis, or drooping eyelids, occurs when the muscles responsible for lifting the eyelids weaken or become damaged. This can be caused by a variety of factors, such as aging, neurological conditions, trauma, or even genetic conditions present at birth (congenital ptosis). In both children and adults, ptosis can impact vision and lead to symptoms like difficulty reading, squinting, or straining the eyes to see properly. In severe cases, the eyelid can cover the pupil, obstructing vision completely. Treatment options often depend on the severity and cause of the ptosis. For mild cases, non-surgical treatments like special glasses or eyelid crutches may be used. However, more severe cases might require surgery to repair or tighten the muscles that raise the eyelid, improving both vision and cosmetic appearance.
  • Entropion & Ectropion correction – Entropion and ectropion are both conditions affecting the eyelids, but they involve different issues with the positioning of the eyelids. Both conditions can cause significant discomfort and may require surgical treatment depending on their severity.
  • Eyelid mass excisions – An eyelid mass refers to any lump or swelling that forms on the eyelid. It can result from a variety of causes, ranging from benign to more serious conditions. The mass can be on the upper or lower eyelid and may vary in size, shape, and texture. Most of the time, mass requires surgery for biopsy and further management .
  • Eyelid cancer surgeries – Eyelid cancer refers to malignant growths occurring on the eyelids. Common Symptoms are aspreading growth on the eyelid that can be red, brown, or black;Broken skin on the eyelid that does not heal; Changes in the appearance of the eyelid skin;Chronic infection of the eyelid;Loss of eyelashes; swelling or thickening of the eyelid.
  • Eyelid reconstruction – Eyelid reconstruction is a specialized surgical procedure aimed at restoring both the functionality and aesthetic appearance of the eyelids following trauma, tumor excision, congenital anomalies, or other deformities. The primary objectives are to ensure adequate protection of the eye, facilitate proper eyelid movement, maintain tear film integrity, preserve the visual field, and achieve a natural aesthetic outcome.
  • Congenital eyelid anomalies management – Congenital eyelid anomalies are disorders present at birth that affect the structure, function, or appearance of the eyelids. These anomalies can result from genetic factors or developmental issues during pregnancy, such as maternal infections (e.g., rubella or toxoplasmosis) or premature birth.
  • Eyelid & periocular scar treatment – Periocular scars, located around the eyes, can result from trauma, surgery, or congenital conditions. Effective management aims to enhance both function and appearance. A multimodal approach often yields the best outcomes. It’s crucial to consult with an oculoplastic surgeon to determine the most appropriate treatment plan tailored to your specific situation. Early intervention often leads to better outcomes.
  • Orbital decompression – Orbital decompression surgery is a procedure designed to alleviate the symptoms of thyroid eye disease (TED) by creating more space within the eye socket (orbit). This additional space allows the swollen tissues and muscles around the eyes to move back into a more normal position, reducing eye bulging and relieving pressure on the optic nerve.
  • Eyelid retraction surgeries – Eyelid retraction surgery is a procedure aimed at correcting the abnormal positioning of the eyelids, where they are retracted (pulled back) either upward (upper eyelid retraction).
  • Orbitotomy – An orbitotomy is a surgical procedure that involves making an incision into the orbit—the bony cavity containing the eye—to access and treat various orbital conditions. This approach allows surgeons to diagnose, biopsy, or excise tumors, drain infections, or address other orbital pathologies.
  • Exenteration – Exenteration is a surgical procedure that involves the removal of the entire contents of the eye socket (orbit), including the eye (globe), surrounding fat, muscles, nerves, and often the eyelids. This extensive surgery is typically reserved for treating severe orbital infections, aggressive tumors, or other life-threatening conditions unresponsive to less invasive treatments.
  • Enucleation with or without implant – Enucleation is a surgical procedure that involves the removal of the entire eyeball (globe) from its socket (orbit), while preserving the surrounding ocular muscles and orbital structures. It is indicated in certain ocular tumors, severe trauma , painful blind eye and intractable infections.

Orbital trauma refers to injuries affecting the eye socket (orbit) and its contents, including the eye (globe), surrounding tissues, and bones. Effective management involves a comprehensive approach, including prompt assessment, appropriate imaging, and timely intervention to prevent complications and preserve visual function.

  • Orbital fracture repair 
  • Eyelid laceration surgeries 
  • Canalicular tear stenting 
  • Intraorbital foreign bodies removal

Socket reconstruction is a surgical procedure aimed at restoring the anatomy and function of the eye socket (orbit) following the loss of an eye (anophthalmia) due to trauma, disease, or congenital absence. The primary goals are to provide a stable and comfortable foundation for a prosthetic eye, improve facial aesthetics, and prevent complications such as socket contracture.

An artificial eye, also known as a prosthetic eye or ocular prosthesis, is a custom-made device designed to replace a missing or non-functional natural eye. While it does not restore vision, it serves to enhance facial aesthetics and provide a natural appearance.

  • Blepharoplasty – Blepharoplasty is a surgical procedure to improve the appearance of the eyelids. It can be performed on the upper eyelids, lower eyelids, or both. The surgery typically involves removing excess skin, fat, and sometimes muscle to create a more youthful, refreshed look or to improve vision if sagging skin obstructs eyesight.
  • Brow recountoring –  A cosmetic procedure that lifts and reshapes the eyebrows to create a more youthful and alert look.
  • Periocular and facial rejuvenation with botox and fillers – Botox and dermal fillers are commonly used around the eyes to reduce wrinkles, improve volume loss, and create a more youthful, refreshed appearance.

Squint correction surgery, is performed to correct misaligned eyes by adjusting the muscles that control eye movement. It helps improve both the appearance and function of the eyes, allowing them to work together properly.In children, early surgery can help develop normal binocular vision. In adults, it mainly improves alignment and cosmetic appearance but may not fully restore binocular vision if the squint has been long-standing.

Oculoplasty & Ocular Oncology Specialist

Dr. Sapan Shah

MBBS, MS Ophthalmology, FAEH (Madurai)

Specialist in Orbit, Oculoplasty and Ocular Oncology

Dr. Pooja Yadav Patel

MBBS, MS Ophthalmology, FAEH (Madurai)

Specialist in Orbit, Oculoplasty and Ocular Oncology

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