|Oculoplasty and Orbit Unit|
Oculoplasty, orbit and lacrimal gland unit treats all pathologies affecting the periocular area. It includes plastic surgery on the palpebral conjunctiva (tumours, droopy eyelids or any abnormality in the ocular adnexa), nasolacrimal anomalies (dry eye inconveniences, permeability-related problems in the duct) and orbital diseases (orbital tumours, thyroid-associated orbitopathy), among others.
This Unit boasts the active involvement of medical specialists (plastic surgeons, otorhinolaryngologists, pathologists) who contribute the knowledge necessary to afford the multidisciplinary approach required to treat these maladies.
1. Complete through-the-eyelid exploration:
2. Lacrimal duct exploration
In most cases, children are born with an unperforated (e.g, “closed-up”) lacrimal apparatus; as a result of this, tears will barely flow into the nose and roll down the cheeks. If the passage of days does not facilitate drainage, surgical intervention will be necessary.
Regarding adults, there are many causes of lacrimal duct obstruction, which triggers stagnation of tears and infection of the lacrimal sac. All this explains the development of new techniques, which are meant to reconstruct the lacrimal drainage system. An accurate problem analysis will help opt for straightforward interventions (intubation, laser, dacryocystectomy) or more complicated surgical procedures (dacryocystorhinostomy, implant of infusion pumps) in order to deal with -and alleviate the effects of- the patient's symptoms.
3. Nasal endoscopic examination.
4. Comprehensive orbital examination
1. Mohs micrographic surgery
Ensuing reconstruction is instantly undertaken and involves skin repair (grafts or flaps) according to the eyelid defect.
2. Transcanalicular diod laser-assisted dacryocystorhinostomy
3. Ptosis surgery
A piece of surgery intended to elevate the eyelid to its normal position (levator resection, Putterman's technique on Muller's muscle, suspension of the eyelid using frontalis muscle).
5. Eyelid surgery
Such anomalies range from simple wrinkles, fat pockets, excess or sagging skin to important eyelid eversions with ocular dryness amd exposure. At the same time we must not neglect the existence of several tumours that demand study, extirpation and reconstruction.
The two-fold importance of the eye contour requires the role of an ophthalmologist duly specialized in this periocular pathology; more specifically, someone who can study, treat and propose diagnostic criteria as well as treatment and collaboration initiatives with other professionals (radiology, radiotherapy, etc).
As soon as your case has been carefully examined, you will be given all the therapeutic options so you, along with your opthalmologist, can choose the most appropriate one.
Eyelid surgery comprises a number of interventions aimed at solving problems like ptosis (droopy eyelids), malposition of the free edge of the eyelid (ectropion, entropion), alterations on the eyelashes (distichiasis), palpebral spams (blepharospams), etc.