Functional and Medical Oculoplastics

Comprehensive Care

Eyelid Conditions and Treatments

Eyelid Malformations

Ectropion (Outward-Turning Eyelid)
The lower eyelid turns outward, exposing the inner eyelid surface.

Symptoms: Irritation, redness, excessive tearing.
Treatment: Surgical tightening and repositioning of the eyelid.

Entropion (Inward-Turning Eyelid)
The eyelid turns inward, causing the eyelashes to rub against the eye.

Symptoms: Redness, irritation, and risk of corneal damage.
Treatment: Surgical correction to restore the eyelid’s natural position.

Trichiasis (Misdirected Eyelashes)
Eyelashes grow inward or rub against the eye surface.

Symptoms: Discomfort, irritation, and potential corneal injury.
Treatment: Removal of abnormal lashes or use of laser/surgical techniques to prevent regrowth.

Lumps, Bumps, and Small Lesions

Removal of common eyelid growths such as styes, cysts, chalazia, papillomas, and skin
tags.
Biopsy and evaluation of suspicious lesions for early detection of skin cancers or
malignancies.

Cancer Removal and Reconstruction

Eyelid Tumor Removal
Specialized surgical removal of benign or malignant tumors, including:

Basal Cell Carcinoma
Squamous Cell Carcinoma
Sebaceous Gland Carcinoma

Goal: Preserve eyelid function and appearance while ensuring complete tumor removal.

Reconstruction After Tumor Removal
Reconstructive procedures restore the eyelid’s structure and function post-tumor removal.

Customized Approach: Tailored techniques for optimal cosmetic and functional outcomes.

Functional Tear Duct Surgery

Lacrimal Surgery (Blocked Tear Ducts)

Treats excessive tearing and recurrent infections caused by tear duct obstruction.

Dacryocystorhinostomy (DCR): A minimally invasive procedure to create a new drainage pathway for tears.

Dry Eye Management

1. Punctal Plug Placement (PPL)
Small plugs inserted into tear ducts to retain natural tears.
Benefit: Minimally invasive and provides quick relief from dry eye symptoms.

2. Intense Pulsed Light (IPL)
Therapy uses light pulses to reduce eyelid inflammation and improve meibomian gland function.
Ideal for: Meibomian gland dysfunction-related dry eye.

3. Artificial Tears & Prescription Medications
Lubricating drops and anti-inflammatory medications to relieve dryness and protect the ocular surface.

Blepharospasm and Hemifacial Spasm

Blepharospasm: Involuntary eyelid twitching or spasms.

Treatment: Botox injections to relax overactive muscles.
Hemifacial Spasm: Involuntary muscle spasms on one side of the face.

Treatment: Botox or other interventions to reduce facial muscle contractions.

Facial Nerve Palsy Management

Restores symmetry and function to the eyelids and facial muscles affected by nerve damage.

Common Procedures Include:
Eyelid Weight Implantation: Assists with eyelid closure.

Canthoplasty / Lid Tightening:
Corrects sagging and improves eyelid positioning.
Botox:
Reduces muscle overactivity on the unaffected side to enhance facial balance.

Pterygium Surgery

Pterygium is a benign, wedge-shaped growth of the conjunctiva that can extend onto the
cornea.

If it causes irritation, affects vision, or continues to grow, surgical removal is recommended.

Surgical Treatment:
The pterygium is carefully excised, and the area is often covered with a conjunctival graft
to reduce recurrence.
Modern techniques ensure minimal discomfort and excellent cosmetic results.