Oculoplasty

Oculoplasty, is a branch of eye surgery that includes the eye ball, eye lid and peripheral tissues. Its main fields of specialisation includes the following subjects:

  1. Congenital defects
  2. Soft tissue – Bony tissue traumas
  3. Lacrimal duct diseases
  4. Eye lid diseases
  5. Lid tumors

Implemented Surgical Operations:

  • Lacrimal duct diseases
  • Eye lid malformations
  • Cosmetic lid surgery
  • Eye lid tumors
  • Thyroid disease related eye diseases
  • Prothesis eye

Eye lid lowereness (ptosis):
Another common problem is the lowereness of the eyelid which is also known as “ptosis”. The upper eye lid closes the upper visual field. When it is of congenital origin, generally, it results from the development defect of the eye brow that lifts the eye lid. It may occur as a result of ageing. The reason in this case is the wear of the muscle that lifts the eye lid or the damage on the nerve that is connected to this muscle.

In this disorder the patient has difficulties in keeping the eye lid open, feels pain in the forehead since s/he cannot open the lids and shows more lowereness especially while reading. The head pozision develops in extremely serious cases.

The prosis amblyopia can be concurrent with visual impairement in children.

The treatment is the surgery. If the muscle that lifts the eye lid has a certain level of functuality a surgical operation to strenghten this muscle will be implemented. If the muscle that lifts the eye lid has no function the lid is hang to a muscle in the forehead.

The main objective of the surgical operation is to adjust the needed lid spacing so as to provide visual improvement and to create the most symetrical appearence to the other eye. The operation is held under the local anaesthesia if the age of the patient is coherent, if not, then the operation is held under the general anaesthesia.

The duration of the operation is approximately one hour. The operation is implemented through the lid curl. For this reason no scar occurs.

What is important is to take the bulk before it grows too much.
Inwards turning of eye lids (Entropion):
The inwards turning of eye lids and eyelashes may cause damage on the surface layers of the eye, indications like irritation, lachrymation and pain and even traumas in the cornea (the transarent layer of the eye ball) and visual loss in advanced situations.

This situation must be corrected by surgical means.

Outwards turning of eye lids (Ectropion)

If the lower eye lid turns outwards and its contact to eye is intermitted, the lacrima cannot be distributed properly. This situation may cause dry eye and infection. Indications like lachrymation and irritation may occur. The normal lid position can be re – acquired by surgical intervention.
Hordeolum ( chalazion) :
The disease which is called as hordeolum or chalazion is a inflammatory eye disease which occurs at the sides or under the eye lid. “The hordeolum develops as the result of inflammation which occurs as a result of the obstruction of meibomian glands at the side of lids. The obstruction of meibomglands is a result of frequently relapsing infections. Hordeolum develops with the panicula at the side or in side of the lid, feel of pain and the feel of red painful bulk. In some cases flavescent blurring around the eye lids may occur. It is more frequent in individuals that frequently experience inflammatory disease. The first approach in its treatment is the medication and warm compress application. The medication can be single or multi based. The surgical intervention may be required if the treatment fails or the disease becomes chronic.
Pterygium:
Ptreygium occurs as red pappillas on the sclera of the eye ball. It extends and cleaves to the colored part of the eye like a wing and damages the eye. This apperent bulge is abstracted through surgical means.
Lid Tumors :
Even if the removal of the bulk seems to be the main objective of the treatment of lid bulks, which are included in the fields of speciality of ophtalmologists, plastic and reconstructive surgery and dermatology specialists, the main purpose is to sustain the anatomical and physiological functions of the eye and to preserve the anatomical structure and cosmetic appearence of the eye.

Eye lid lesions are composed of different groups like tumors, infections and degenerative lesions.

Oculoplasty

Nevus :
The eye lid nevuses are very common benign tumors. Their color is lighter at birth and they become darker as the time passes. Occasionally they may become malignant tumors. Nervuses that cause visual impairement or that offer malignant tumor doupts are abstracted through surgical means.
Molluscum Contagiosum :
They occur as small, flat, symmetrical and dished lesions at the side of the lids. They may cause inflammation when contacted to conjunctiva. They are easily treated by surgical operation.
Xanthelasma :
It occur as yellow and rough lesions at the nose – sides of the eye lid. It develops as a result of fat accumulation. It may be a manifastation of high blood fat rate. It can be removed by operation but it may relapse.

This operation has a very high rate of success in our hospital.
Hemangioma :
It is usually a cangenital benign vein tumor. Its color can be blue, purple or red. They usually spontaneously become smaller in time. For this reason no treatment is necessary unless the tumor is too big or it poses the risk of amblyopia.

DSR OPERATION ( Dacryocyst Sac Surgery ) :
Dacryocyst and lacrimal ducts transmit the lacrima to the nasal cavity. The obstruction of these ducts because of various reasons causes the eye dilution problem which is called as “epiphora”. The lacrima which is necessary to keep the eye surface moist and thus functioning, is produced by the adenos located under the eye lids. The obstruction of these ducts because of various reasons causes the eye dilution problem which is called as “epiphora”. The continous outflow of the lacrima is the indication of dacryocyst obstruction.

This operation has a very high rate of success in our hospital.

 

Son düzenleme 13 December 2017 tarihinde yapılmıştır.