Oculoplastic surgery

Oculoplastic surgery is the cosmetic, corrective, and reconstructive surgery of the eye. It includes wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face.It also deals with the reconstruction of the eye and associated structures.

Scope of service includes management of abnormal eyelid position (entropion, ptosis), removal of eyelid tumors, lid reconstruction, lacrimal surgery, as well as rehabilitation of anophthalmic socket with orbital implants.

Facilities available in Oculoplasty Service are

1. Eyelid surgery:

Eyelids can have a variety of deformities such as droopy eyelids, eyelid bags, puffy eyelids, in-turned eyelid margins and the like. Children are sometimes born with droopy eyes – this condition is called congenital ptosis and needs to be surgically treated to prevent visual complications. The various eyelid conditions include:

a) Ptosis

b) Entropion

c) Ectropion

d) Lagophthalmos

e) Blepharospasm

f) Epiblepheron

Watch Dr Pratyush Ranjan Perform upper lid entropion (inturning) surgery: https://www.youtube.com/watch?v=zvbvD7PbdOs

2. Facial Aesthetics

Aesthetic surgery refers to all procedures done to enhance the beauty of the face. Here facial rejuvenation procedures are performed keeping an emphasis on minimally invasive treatments and ensuring that the results look as natural as possible. Procedures are tailored as per the needs of the patient to ensure maximum benefits, naturally! Procedures performed include lid-lift (to correct aging, sagging eyelids and to correct the excess hooding of skin on the upper lids), lower lid blepharoplasty (to correct the lower eye lids bags and fat prolapse). Botulinum tox (Botox) injection is also given to smoothen fine lines or wrinkles. Dermal fillers are substances which are injected into the skin to help fill in the wrinkles and thereby restoring a smoother appearance. They not only smoothen but also add volume to the face. A combination of two or more procedures can be done to obtain a remarkable youthful look which is strikingly beautiful and natural.

3. Lacrimal surgery

The lacrimal system largely consists of the lacrimal gland that produces tears which moisten the surface of the eye; and the “ducts” or tubes that drain tears from the eye into the nose. The most common symptoms of lacrimal system problems include watering or excess tearing (to the point that tears might run down the face) and mucous discharge.

Common problems include blockage of the nasolacrimal duct (tear duct). However, the blockage in the drainage apparatus may be situated anywhere from the eyelids (punctum) right up to the nasolacrimal duct opening. Depending on the site of blockage and the age of the patient, various surgical procedures are performed, namely:

a) Syringing / irrigation and nasolacrimal duct probing

b) Dacryocystorhinostomy (DCR)

c) Dacryocystectomy (DCT)

d) Punctoplasty

e) Canalicular trephining

Watch Dr. Pratyush Ranjan perform External dacryocystorhinostomy (DCR) with Silicone Intubation: 

https://www.youtube.com/watch?v=qyvMbT2i2yU

4. Ocular Rehabilitation

Often times as a result of childhood trauma or infection, an eye can become disfigured and such eyes may be unsightly and cosmetically unacceptable. As a part of cosmetic rehabilitation, the surgical procedures performed include enucleation surgeries and evisceration. Enucleation and evisceration are procedures used to remove a diseased eye. During an evisceration surgery, the contents of the eye (inside) and the cornea are removed, but the sclera or the outer covering of the eye, remains. During an enucleation the entire eyeball is removed and the lost volume is replaced with an implant. Following completion of the healing process, an ocular prosthesis (prosthetic eye) or a shell is placed. This ocular prosthesis resembles the natural colour and details of a normal eye and this prosthesis fits over an orbital implant and under the eyelids.