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| OPTHALMOPLASTIC
SURGERY |
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Plastic surgery around the eye
is known as ophthalmoplastic surgery. Common diseases requiring
plastic surgery are : |
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Plerygium : This
is thickening of nasal conjunctiva. (outer thin membrane covering
the white of eyeball). lt occurs commonly due to dry weather and
sunlight (u.v.rays). If the thickened conjunctiva infiltrates
cornea (black part of eye) and interferes with vision, surgery
is required. |
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Pterygium
Surgery : Previously the pterygium
was excised and the area was left bare (bare sclera technique)
but recurrence rate was high in such cases. Now latest
technique is conjunctival autotransplantation which is being
done at our centre. In this technique after excision of
pterygium the bare area is covered with conjunctiva taken
from same or opposite eye. Recurrence rate is very less
in this procedure. |
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Pterygium |
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Entropion : It
is inward turning of eye lids (upper or lower). The eye lashes
cause irritation, watering and redness because of rubbing with
eye ball surgical procedure is done to correct the condition. |
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Ectropion : It
is outward turning of eye lids. This produces excessive watering.
Surgical treatment corrects the condition. |
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Entropion |
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Ectropion |
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| Skin grafting :
In cases of burns/trauma etc there may be loss of lids or distortion
of lids, In such cases the diseased skin of lids is removed and
replaced by fresh skin taken from other parts of body. |
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Burn case before
surgery |
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Surgery
in progress. Skin is being taken from behind the Ear
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After surgery |
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| Tumours
of Eye (Cancer) : Tumurs (Cancer)
can also occur in various parts of eye. Tumour removal and reconstruction
of eye lids is also done at our centre. |
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A case of upper lid
cancer
(Before surgery) |
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A case of upper lid
cancer
(After surgery) |
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A case of upper lid
cancer
(Before surgery) |
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A case of upper lid
cancer
(After surgery) |
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| Ptosis : Drooping
down of upper lid is called ptosis. Surgical correction is required
in most of the cases. |
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- If the muscle lifting the eye lid is weak but
having some action, it is strengthened (LPS resection).
- If the muscle is not working at all, the eye
lid is lifted by a sling (frontalis sling operation).
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Ptosis before surgery |
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Ptosis after surgery
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| Blephrophimosis |
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| Diseases of naso lacrimal apparatus :
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Congenital
nasolacrimal duct (NLD) : Blockage
nasolacrimal duct is a small passage which takes tears from eyes
to nose. it may be blocked right from birth. The child has watering
of eye involved. |
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Treatment : The
blocked passage is opened by a small needle passed through the
passage followed by forced jet of water (syringing). |
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Dacryocystitis |
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