Orbit and Oculoplasty is a distinct subspecialty of ophthalmology which deals with anomalies of the eyelids, orbit (bones behind the eye) and lacrimal (tear drainage) system.
The eyelids and structures around the eyes are critical for vision. Injuries, aging changes and tumors can cause pain, vision loss and disfigurement. Changes in the eye's appearance due to aging or the loss of an eye to disease/injury can decrease one's ability to interact in social settings and can decrease one's confidence and impair self-image.
Indications for an Oculoplasty consult:
Lacrimal Problems
Persistent unexplained watering
Lacrimal System Trauma.
Eyelid Disorders:
Warts, Xanthelasmas, Cyst over the eyelids / periorbital skin.
Lid anomalies
- Ectropion (outturned eyelids)
- Entropion (inturned eyelids)
- Involutional/congenital Ptosis (drooping of eyelids)
- Lid retraction (thyroid patients)
- Eyelash abnormalities (trichiasis)
Drooping of eyebrows (Brow ptosis)
Eyelid trauma – treated with reconstruction and canalicular stenting.
Eyelid tumors – treated by resection followed by reconstruction of eyelid.
Eyelid or facial squeezing disorders
Orbital Disorders:
Painful blind eye/pre phthisical /phthisical eye
Care of an anophthalmic socket – Fornix reconstruction, correction of lax lower lid, Socket reconstruction in case of volume deficit.
Orbital fractures – mainly blowout fractures of floor – need orbital floor reconstruction.
Aesthetic Services:
Drooping/tired upper lids, Loose skin around eyes (upper lid/lower lid) with/without prolapse of fat – treated with blepharoplasty.
Wrinkles around the eyes and upper mid face – crows feet, frown lines, horizontal lines over forehead – treated with Injection Botox.
Periorbital hollows, shallow contours, facial creases – Facial rejuvenation with dermal fillers.
List of surgeries:
- Dacryocystorhinostomy (DCR)
- DCR with Intubation
- Dacryocystectomy (DCT)
- Nasolacrimal duct probing and syringing
- Excision of Xanthelasma/wart
- Ptosis surgery
- Surgery for lid retraction
- Ectropion surgery
- Entropion surgery
- Enucleation with orbital implan
- Evisceration with orbital implant
- Socket reconstruction
- Fornix reconstruction
- Eyelid reconstruction
- Repair for eyelid trauma
- Orbital fracture repair
- Orbitotomy for orbital tumours