Oculoplastic surgery is a special sub-specialty field of ophthalmology, focusing on reconstructive and aesthetic procedures around the eyelids, orbit, and lacrimal system.
Aesthetic Eyelid Surgery
Blepharoplasty, or aesthetic eyelid surgery, removes excess skin, fat, and muscle from the eyelids to correct baggy or drooping tissue around the eyes.
Adult Ptosis Surgery
There are two types of ptosis repair: cosmetic ptosis surgery and functional (medical) ptosis surgery. Both aim to elevate the upper eyelid.
Congenital Ptosis Surgery
Congenital ptosis refers to a droop of the upper eyelid that is present since birth. This is due to an abnormal development of the levator muscle that is responsible for lifting the eyelid.
Entropion refers to an inturning of the eyelid margin. This causes the eyelashes to roll inwards as well. The subsequent lash-corneal touch leads to varying levels of discomfort.
Ectropion refers to an out-turning of the eyelid margin. Like entropion, this often involves the lower eyelid and is also most commonly associated with age-related laxity.
Epiblepharon refers to the excessive skin fold along the eyelid margin that causes the adjacent eyelashes to be turned inwards and touch the cornea, causing a variable level of discomfort.
For a blocked tear duct, the Gold standard treatment is either external or endoscopic dacryocystorhinostomy. This involves the creation of a new conduit between the tear sac and the nasal cavity.
Thyroid Eye Disease Management
When seeing the oculoplastic surgeon graves opthalmopathy, it is crucial to have the eyes fully assessed to determine how active and how severe the disease is.
Orbital Disease Management
Common orbital surgeries include orbital biopsies, orbital fracture repair, orbital decompression for severe thyroid eye disease, drainage of orbital abscesses and excision of orbital tumours.
Socket/Prosthetic Eye Interventions
When reconstructing the socket, the oculoplastic surgeon aims for good volume replacement, deep fornices and adequate soft tissue cover to avoid surface erosions.
Surgery For Facial Nerve Palsy
When the facial nerve is injured due to trauma, tumour, stroke or other disorders, the facial muscles on the same side of the face become paralysed. Brow lift surgery and ectropion surgery can be performed where appropriate.