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Ophthalmic Plastic and Reconstructive Surgery • Ophthalmic Plastic and Reconstructive Surgery is a Specialized Branch of Ophthalmology that deals with the management of deformities and abnormalities of the Eyelids, Lacrimal (tear) system, the Orbit (the bony cavity surrounding the eye), and the areas of the face adjacent to the eye An ophthalmic plastic and reconstructive surgeon is an ophthalmologist (medical doctor and eye surgeon) who has completed additional training in plastic surgery as it relates to the eyes and their surrounding structures. Ophthalmic plastic and reconstructive surgery deals with management of • Eyelid disorders present from birth and also those which develop later in life • Tumors in and around the eye • Trauma (Damage caused by Injuries) • Ocular surface disorders • Watering of eyes • Socket reconstruction • Aesthetics (Facial Rejuvenation) Eyelid disorders • • • Correction of Entropion (inward turning of eyelid margin ) Ectropion (outward turning of eyelid margin) Ptosis (drooping of eyelid ) since birth and those which develop later in life INTURNING OF LEFT LOWER LID TWO WEEKS AFTER SURGERY OUTWARD TURNING OF EYELIDS ( ECTROPION ) CAPILLARY HEMANGIOMA IN LEFT UPPER LID DERMOID Tumors • • • Involving the cornea ,conjunctiva and caruncle Eyelid tumors ( excision with margin clearance followed by lid reconstruction with grafts and flaps ) Orbitotomy for orbital and lacrimal gland tumors LIMBAL NEVUS 5 DAYS AFTER SURGERY ONE MONTH AFTER SURGERY SWELLING IN INNER PART OF LEFT UPPER LID TUMOR AS SEEN DURING SURGERY 2 WEEKS POST SURGERY Thyroid Eye Disease • LID RETRACTION IN THE LEFT SIDE FORWARD PROTRUTION OF BOTH EYE Comprehensive evaluation of effects of thyroid disease on the eye, in coordination with endocrinologist Trauma • 24 hour trauma care and surgery facility for all types of Trauma, Thermal and Chemical burns managed by a team of Corneal , Oculoplastic , Maxillofacial Surgeons and trained paramedical staff. Facilities available in Trauma Clinic • Aesthetic repair of tear of eyelids and laceration of face • Canalicular tear repair with Minimonoka • Corneoscleral tear repair • • • Orbital fracture repair with Medpor implant and Titanium plates Aesthetic management of scars Visual and cosmetic rehabilitation (prosthesis) EYELID TEAR INVOLVING LOWER CANALICULUS TWO WEEKS AFTER SURGERY, EYELID TEAR HAS HEALED , STENT SEEN IN POSITION FOLLOWING ROAD TRAFFIC ACCIDENT FLOOR RECONSTRUCTED WITH TITANIUM PLATES FRACTURE FLOOR OF ORBIT GOOD COSMESIS WITH PROSTHETIC EYE IN PLACE Ocular Surface Clinic • Immediate and long term management of eyes of patient of Steven Johnson syndrome and Toxic epidermal necrosis pertaining to dry eyes and cicatricial entropion • • Comprehensive examination and management of dry eyes Amniotic membrane and stem cell transplantation Watering eyes • INFLAMMATION OF LACRIMAL SAC • www.biolitec.co m BLOODLESS SUTURELESS OUTPATIENT PROCEDURE OF DCR BY LASER Probing and syringing for congenital nasolacrimal duct obstruction Diagnostic nasal endoscopy • External DCR • Laser DCR Watering eyes • • • Lacrimal trepination with minimonoka for canalicular obstruction Punch punctoplasty for punctal stenosis Conjunctivo DCR with Jones tube /mucous membrane graft Socket Reconstruction • Eviseration /Enucleation with ball implant • Dermis fat graft • Fornix formation • Mucous membrane graft • • Socket expansion with hygrogel implant in congenital microphthalmia and anophthalmia Fitting of custom made prosthetic eye PAINFUL , BLIND EYE A COSMETIC BLEMISH AFTER SOCKET SURGERY , WITH PROSTHETIC EYE IN PLACE