Oculoplasty & Oculoplastic Surgical treatment in India
Oculoplasty is a quickly growing super-specialty in India, with numerous institutes today providing fellowship training programs for youthful oculoplastic surgeons. There had been a time when eyelid and orbital surgeries had been done by general plastic surgeons – That is akin to going to a French conversing instructor to learn English! For eyelid, orbital, brow, lacrimal and mid-face surgery, be sure to seek and look for a good oculoplastic surgeon, Mumbai, Delhi, Chennai, Hyderabad and many other Indian towns and cities will have a few. Many of the top oculoplastic surgeons are trained in the Western world and have actually returned to Asia post that and expenses will be 1/5th the costs you’d spend in the United States, Europe or Singapore.
Oculoplastic Surgery, additionally understood as Ophthalmic Plastic and Reconstructive, Oculo-facial or Eye Plastic Surgery or Oculo Facial Plastic Surgery, is a medical subspecialty derived from Ophthalmology (eye surgery) that deals with the medical, reconstructive and aesthetic surgical management of deformities and abnormalities of the eyelids, lacrimal (tear) system, orbit (bony socket) and the adjacent face. An Oculoplastic Surgeon is a doctor who has undergone residency training in Ophthalmology and then undergone a super-specialized fellowship training in Oculoplastic Surgery – i.e. an Ophthalmologist (clinical physician and eye surgeon) who has finished extra advanced training in plastic surgery as it relates to the eyes, face and surrounding structures.
The term plastic is derived from a Greek term ‘plastos’ that means to mold or to give shape. Plastic surgery is a surgery that molds or reconstructs and modifies regions of an individual body. Oculoplastic operation is plastic surgery as it pertains to the location around the eye. The eyelids and surrounding areas are incredibly complex and delicate structures that are essential to the conservation of sight and are crucial functions of a regular facial look. Since surgery in this region can impact one’s capability to see and can additionally orient and alter the relationship of the eyelids with the eyes, Oculoplastic Surgeons are exclusively competent to perform this delicate surgery and to supply care the eye itself may require.
Additionally, since the eyes are main in the face and since the flooring of the orbit (bony socket in which the attention is situated) forms a fundamental component of the mid-face, oculoplastic and oculo-facial plastic surgeons are exclusively trained to treat the reconstructive and cosmetic issues of the face. After all, whenever individuals look at each other, the eyes are exactly what people look at initially when they look at each other.
After finishing 4 and a half years of medical college, a future Oculoplastic Facial Surgeon will finish a one year internship and a three year residency in Ophthalmology, used by two extra years invested in advanced fellowship training in Orbit, Ophthalmic Plastic, and Reconstructive operation. In the United States, Board certification by the American Board of Ophthalmology is needed in order to finish fellowship training. It worth noting that the vast majority of basic plastic surgeons complete five years of residency training, just two of which are dedicated to plastic surgery. During these two years the general plastic surgery resident must acquire expertise in aesthetic and reconstructive surgery on all areas of the human body. By comparison, Oculoplastic Surgeons spend two years focusing just on the eyelids, orbit and surrounding areas. This offers the Oculoplastic Surgeon an unparalleled level of training and knowledge to deal with the complex problems included in plastic surgery around the eye and the face.
Here is the Video of Best Oculoplastic Surgeon- Dr. Debraj Shome-
Oculoplastic Procedures:
Oculoplastic surgeons perform procedures like the repair of droopy eyelids (ptosis surgery), orbital fracture repairs, repair of tear duct obstructions & watering eyes (lacrimal surgery), eyelid reconstruction (post eyelid epidermis cancers), treatment of tumors in and around the eyes, and facial restoration procedures including laser skin resurfacing, botox for eyelid conditions like blepharospasm, eye lifts (blepharoplasty), facelifts, and brow lifts.
Different surgeries for eyelid:
- Ectropion, ectropion, ptosis, and eyelid tumors are commonly treated by different types of eyelid surgery.
- Blepharoplasty (eyelift) is plastic surgery of the eyelids to eliminate subcutaneous fat and excessive skin.
- Asian blepharoplasty (Double eyelid surgery)
- Ectropion repair
- Ptosis repair for droopy eyelid.
- Eyelid flaps and grafts for eyelid cancers/ tumors/ tumours – Skin cancers like basal cell carcinoma, sebaceous cell carcinoma, squamous cell carcinoma, and cancerous melanomas are treated by oculoplastic surgeons making use of a variety of flaps, grafts and reconstructive surgery methods.
- Entropion repair
- Canthal resection.
- A canthectomy is performed in order to remove the tissue at the junction of the upper and lower eyelid surgically.
- Cantholysis is the surgical division of the canthus.
- Canthopexy
- A canthoplasty is plastic surgery at the canthus.
- A canthorrhaphy is suturing of the exterior canthus to reduce the palpebral fissure in size.
- A canthotomy is the surgical division of the canthus, generally the exterior canthus.
- A lateral canthotomy is the surgical division of the external canthus.
- Epicanthoplasty
- Tarsorrhaphy is a treatment in which the eyelids are partially sewn together so that the opening (i.e. palpebral fissure) is narrowed.
- Removal of eyelid tumors (such as basal cellular carcinoma or squamous cellular carcinoma)
Operative procedures involving the lacrimal apparatus:
- DCR (Dacryocystorhinostomy) for Tearing
- Canaliculodacryocystostomy is a surgery performed for correcting a congenitally obstructed tear duct in which the closed segment is excised and the available end is joined to the lacrimal sac.
- Canaliculotomy involves slitting of the lacrimal punctum and canaliculus for the relief of epiphora.
- A dacryoadenectomy is the procedure where the lacrimal gland is removed surgically.
- A dacryocystectomy is the surgical removal of a component of the lacrimal sac.
- A dacryocystorhinostomy (DCR) or dacryocystorhinotomy is a treatment to restore the tear flow into the nose from the lacrimal sac when the nasolacrimal duct does not function.
- A dacryocystostomy is an incision into the lacrimal sac, generally to promote drainage.
- A dacryocystotomy is an incision into the lacrimal sac.
Eye removal
An enucleation is a type of surgery performed for removing the eye leaving the eye muscles and orbital articles intact. An evisceration brings about elimination of the eye’s contents, leaving the scleral shell intact. Generally performed to reduce discomfort in a blind eye.
An exenteration is the treatment of the whole orbital contents, including the eye, extraocular muscles, connective tissues and fat; generally for cancerous orbital tumors.
Orbital Reconstruction
Ocular prosthetics (artificial eyes)
Orbital prosthesis (artificial replacement of the eye and eyelids within the control of Anaplastology) for an extenterated orbit.
Orbital decompression for Graves’ illness.
Others
- Ultrapeel Microdermabrasion.
- Botox Injections.
- Face lift (Rhytidectomy).
- Endoscopic forehead and browlift.
- Browplasty.
- Liposuction of the face and throat.
