Medical Oculoplastics Procedures

Medical oculoplastic surgery, as opposed to cosmetic oculoplastic surgery, is performed for functional reasons. These procedures can be done for a variety of conditions, including lesions needing a biopsy or removal, or droopy eyelids obstructing your vision. One of the most common oculoplastic surgeries is ptosis surgery. Ptosis is a condition in which the upper lid droops down for a variety of reasons. With upper lid ptosis, the droopy eyelid can sag low enough to obstruct a significant portion of vision.
Ectropion Entropion Diagrams

There are many reasons someone may need oculoplastic surgery, including:

Eyelid – Malposition

  • Ptosis – droopy eyelids
  • Dermatochalasis – excessive skin hanging over the eyelashes
  • Entropion – eyelids turned in
  • Ectropion – eyelids turned out
  • Retraction – eyelids pulled down (lower eyelids) or pulled up (upper eyelids)
  • Trichiasis – misdirected eyelashes

Eyelid – Growths

  • Benign neoplasms – papillomas, nevi (moles), skin tags
  • Skin cancers – basal cell, squamous cell, sebaceous cell and melanomas

Eyelid – Inflammation

  • Chalazion – styes
  • Infections – cellulitis
  • Dacryocystitis – Infections of the tear drainage system

Chalazion

Chalazion

Orbit – Soft tissue and bone around the eye

  • Trauma – orbital bone fractures and eyelid/facial lacerations
  • Inflammation – thyroid eye disease, idiopathic orbital inflammation
  • Tumors – benign growths and cancers
  • Anophthalmia – loss of an eye

Tear Ducts

  • Lacrimal – tear drainage system blockage or trauma
  • Nasolacrimal duct obstruction – blocked tear duct
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