Various conditions of the surrounding tissues of the eye can be managed with oculoplastic surgery.
Ageing is often associated with the development of excess skin on the upper eyelids. This skin can cause heaviness of the eyelids, and can even impair vision. It can also give you a tired and angry appearance. This condition is called dermatochalasis.
Upper lid blepharoplasty surgery involves removal of this excess skin. The procedure takes approximately 45 minutes and is performed under local anaesthesia. Surgery is performed as day surgery not requiring overnight admission. The skin incision is made in the eyelid crease and thus is not visible with the eyes open. Stitches are removed at one week.
An ectropion is when the lower eyelid becomes loose, droopy and turns outwards. The pink conjunctiva on the inside of the eyelid becomes visible giving an abnormal and unsightly appearance. Also the eye itself can become dry and irritated. Also the tear drainage hole in the lower eyelid, known as the punctum, sits away from the eye and cannot drain tears, thus the eye waters.
An ectropion can be left untreated if mild, when severe it is best corrected with surgery. The surgery involves tightening the eyelid at the outer corner of the eye. The surgery is performed under local anaesthesia and takes 45 minutes. Surgery is performed as a day procedure not requiring overnight admission. Stitches are removed at one week.
An entropion occurs when the lower eyelid rolls inwards and all of the eyelashes on the lower lid rub against the eye. An entropion starts off occurring intermittently, often precipitated by squeezing the eyelids, after time it becomes constant.
An entropion is very painful and should be corrected surgically. The surgery is performed under local anaesthesia and takes 45 minutes. Surgery is performed as day surgery not requiring overnight admission. Stitches are removed at one week.
Ptosis is drooping of the upper eyelid. The most common cause is age related. The tissue in the upper lid that elevates the eyelid, the aponeurosis, becomes stretched over time.
If significant, ptosis can block your vision as the eyelid droops over the pupil. Even if mild ptosis can be a cosmetic problem, especially if one eyelid is affected more than the other.
Surgery can correct ptosis. The surgery is performed under local anaesthesia. Surgery is performed as day surgery not requiring overnight admission. Stitches are removed at one week.
Blocked Tear Duct
Watering of the eyes occurs naturally in response to irritation, either from chemicals (cut onions) or over drying (a cold windy day). Watering can also occur due to blockage of the tear ducts which can occur at different levels of the tear duct system.
If you experience excessive eye watering, your eye specialist can perform several tests to work out the level at which the system is blocked.