Oculoplastic - Orbital Surgery
eyelid ptosis
skin cancer - mohs surgery
tear duct surgery
facial spasms
facial palsy
thyroid eye disease
orbit tumors and trauma

Orbital Surgery

Oculoplastic and Facial Reconstructive Surgery
(Including Facial Palsy / Bell's Palsy, Thyroid Eye Disease, Tear Duct Surgery, Orbital Surgery, Eye Tumors)

Facial Palsy – Facial palsy is a weakness of facial muscles caused by Bell’s Palsy, tumor, trauma, stroke, viral infection, or an inflammatory process. This produces an asymmetry of the face and decreased facial expression. Since the muscles of the eyelids are paralyzed, one can not close his or her eyes. This results in eye dryness, redness, tearing, and corneal abnormalities. Furthermore, the side of the mouth drops making it difficult to speak and eat. Facial palsy can be corrected surgically by suspending the midface to support the weakened cheek and lower eyelid muscles. A gold weight is often inserted into the upper eyelid to improve eyelid closure. The mouth region can also be suspended to improve the appearance and function of the face.

Thyroid Eye Disease – Thyroid eye disease (a condition of Graves’ disease or hyper-thyroidism) causes the eyes to bulge forward and the eyelids to retract. This leads to double vision, severe inflammation, discomfort, dry or watery eyes, corneal abrasions, infections, and possibly loss of vision. Surgery for thyroid eye disease involves expanding the bones of the eye socket to allow the eye to fall back. Muscle surgery can then be performed to alleviate double vision. Eyelid surgery is often the last stage of rehabilitation whereby the eyelids are lowered, yielding a more natural, aesthetically pleasing appearance and reducing the chance of future eye-related complications.

Tear Duct Surgery – Dry eye is a common condition affecting over 40% of the population. The condition worsens with age and is more common in post-menopausal women. Symptoms of dry eyes include irritation, redness, pain and blurred vision. Often, these symptoms can be relieved with over the counter tear replacement drops. When severe, a procedure to place tiny plugs in the tear ducts can keep the tears in the eyes longer, providing relief of symptoms. Watery eyes on the other hand, are usually a sign of blocked tear ducts resulting from infection, injury, or tumor. Tear duct surgery may be performed to open or bypass the duct and allow the tears to drain directly into the nose. Tear duct surgery can be performed through a small incision in the corner of the eye or with endoscopic surgery (with a tiny microscope) through the nose.

Orbital Surgery – The Orbit (eye and surrounding bones) can be adversely affected by tumor, and is one of the primary regions affected by facial trauma. Orbital trauma resulting in fractures of the bone surrounding the eye causes the eye to sink back into its socket, facial deformity, poor eye movement, and loss of vision. Orbital fractures can now be repaired with minimal incisions through the inside of the eyelid or mouth. While orbital fractures cause the eye to sink back, orbital tumors can cause the eye to protrude, causing facial deformity, eye irritation, dryness, increased risk of infection, and loss of vision. In severe cases of orbital trauma or tumor, it is sometimes necessary to remove the eye completely.

If you are interested in learning more about oculoplastic and facial reconstructive surgery, please feel free to contact us for more information.

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