Eagleview Eye Clinic

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TRABECULECTOMY

Trabeculectomy is a surgical procedure used to treat glaucoma by creating a new drainage pathway for fluid to leave the eye, reducing intraocular pressure (IOP). The goal is to:

  • Lower IOP to prevent further damage to the optic nerve
  • Preserve vision
  • Slow disease progression

During the procedure:

  • A small section of tissue is removed from the eye
  • A new drainage channel is created
  • A bleb (fluid reservoir) forms under the conjunctiva

Trabeculectomy is often considered for patients with:

  • Advanced glaucoma
  • Uncontrolled IOP despite medication or laser treatment

Post-operative care includes:

  • Monitoring for complications (e.g., infection, scarring)
  • Managing IOP and inflammation
  • Follow-up appointments for recovery assessment.

NEUROPARALYTIC KERATITIS

Neuroparalytic keratitis is a condition where the cornea becomes inflamed or damaged due to nerve dysfunction or paralysis, often resulting from:

  • Facial nerve palsy (e.g., Bell’s palsy)
  • Trigeminal nerve damage
  • Trauma
  • Stroke
  • Neurological disorders (e.g., multiple sclerosis)

This condition can lead to:

  • Decreased corneal sensation
  • Reduced blinking
  • Exposure keratopathy
  • Increased risk of corneal ulcers

Symptoms may include:

  • Eye pain
  • Redness
  • Blurred vision
  • Dryness

Treatment aims to:

  • Protect the cornea
  • Promote healing
  • Manage symptoms

Options may include:

  • Lubricating eye drops
  • Protective eyewear
  • Tarsorrhaphy (surgical eyelid closure)
  • Other supportive measures.
ORBITAL TUMOUR REMOVAL

Orbital tumor removal is a surgical procedure to remove abnormal growths or tumors within the orbit (the bony cavity surrounding the eye). The goal is to:

  • Eliminate the tumor
  • Preserve vision and eye function
  • Improve appearance
  • Relieve symptoms (e.g., pain, double vision)

Types of orbital tumors:

  • Benign (non-cancerous): e.g., hemangiomas, neurofibromas
  • Malignant (cancerous): e.g., lymphoma, rhabdomyosarcoma

Surgical approaches:

  • Anterior orbitotomy: For tumors located in the front part of the orbit.
  • Lateral orbitotomy: For tumors located on the side of the orbit.
  • Cranio-orbital approach: For tumors extending into the cranial cavity.

Techniques:

  • Open surgery: Traditional approach with incisions.
  • Endoscopic surgery: Minimally invasive approach using small incisions and a camera.

Post-operative care:

  • Monitoring for complications (e.g., bleeding, infection)
  • Managing pain and swelling
  • Follow-up appointments for recovery assessment

The specific approach and technique depend on the tumor’s location, size, and type, as well as the patient’s overall health.

LEVATOR RESECTION

Levator resection is a surgical technique used to correct ptosis (drooping eyelid) by strengthening the levator palpebrae superioris muscle, which is responsible for eyelid elevation. Here’s a more detailed overview:

Indications:

  • Congenital or acquired ptosis
  • Mild to moderate ptosis
  • Good levator function

Procedure:

  1. The surgeon makes an incision in the eyelid crease.
  2. The levator muscle and tendon are identified and resected (a portion is removed).
  3. The resected muscle is then reattached to the eyelid, effectively shortening it and improving eyelid elevation.

Goals:

  • Improve eyelid position and symmetry
  • Enhance visual field
  • Restore normal appearance

Types:

  • Müllerectomy: A variation involving resection of Müller’s muscle, which also contributes to eyelid elevation.

Post-operative care:

  • Eye drops and ointments may be prescribed to aid healing and reduce inflammation.
  • Patients are usually advised to avoid heavy lifting, bending, or strenuous activities.

Potential risks and complications:

  • Undercorrection or overcorrection
  • Bleeding or hematoma
  • Infection
  • Lagophthalmos (incomplete eyelid closure)

Levator resection is a common and effective procedure for correcting ptosis, but the outcome depends on individual factors, such as the severity of ptosis and the surgeon’s expertise.

MULLERECTOMY

Mullerectomy is a surgical procedure that involves the removal or resection of a portion of the Müller’s muscle in the eyelid. It’s often performed to:

  1. Treat ptosis: Correct droopy eyelids by strengthening the eyelid’s lifting mechanism.
  2. Improve eyelid function: Enhance eyelid elevation and symmetry.

The procedure is typically done by an oculoplastic surgeon and can be tailored to individual needs.

TEAR DUCT SURGERY

Tear duct surgery, also known as dacryocystorhinostomy (DCR), is a procedure to:

  1. Restore tear drainage: Creating a new pathway for tears to flow from the eye into the nasal cavity.
  2. Relieve blockages: Clearing blockages in the tear ducts.

The surgery can be performed:

  1. Externally: Through a small incision on the side of the nose.
  2. Endoscopically: Through the nose using a small camera and instruments.

Tear duct surgery can help alleviate symptoms such as:

  1. Excessive tearing
  2. Eye irritation
  3. Recurrent infections

If you’re experiencing tear duct issues, consult with an optometrist or oculoplastic surgeon to determine the best course of treatment.

EYE LID RECONSTRUCTION

Eyelid reconstruction is a surgical procedure to repair or rebuild the eyelid, often due to:

  1. Trauma or injury
  2. Tumor removal
  3. Congenital defects
  4. Eyelid malposition

The goal is to restore:

  1. Function: Protecting the eye and maintaining vision
  2. Appearance: Improving the look of the eyelid

Techniques vary depending on the complexity and extent of the reconstruction, and may involve:

  1. Skin grafts
  2. Flap reconstruction
  3. Tarsorrhaphy (temporary or permanent closure)

A skilled oculoplastic surgeon can help determine the best approach for individual needs.

BLEPHAROPLASTY

Blepharoplasty is a surgical procedure to improve the appearance of the eyelids, addressing concerns such as:

  1. Excess skin: Removing sagging skin around the eyes.
  2. Fat deposits: Reducing puffiness or bags under the eyes.
  3. Muscle relaxation: Tightening muscles for a more youthful look.

The procedure can be performed on the upper eyelids, lower eyelids, or both, and can be tailored to individual needs.

Benefits include:

  1. Improved appearance: Reduced signs of aging.
  2. Enhanced vision: Removing excess skin that obstructs vision.
  3. Boosted confidence: Feeling more refreshed and youthful.

If you’re considering blepharoplasty, consult with an experienced surgeon to discuss your options and determine the best approach for your individual needs.

BLEPHAROPLASTY

Blepharoplasty is a surgical procedure to improve the appearance of the eyelids, addressing concerns such as:

  1. Excess skin: Removing sagging skin around the eyes.
  2. Fat deposits: Reducing puffiness or bags under the eyes.
  3. Muscle relaxation: Tightening muscles for a more youthful look.

The procedure can be performed on the upper eyelids, lower eyelids, or both, and can be tailored to individual needs.

Benefits include:

  1. Improved appearance: Reduced signs of aging.
  2. Enhanced vision: Removing excess skin that obstructs vision.
  3. Boosted confidence: Feeling more refreshed and youthful.

If you’re considering blepharoplasty, consult with an experienced surgeon to discuss your options and determine the best approach for your individual needs.

BLEPHAROPLASTY

Blepharoplasty is a surgical procedure to improve the appearance of the eyelids, addressing concerns such as:

  1. Excess skin: Removing sagging skin around the eyes.
  2. Fat deposits: Reducing puffiness or bags under the eyes.
  3. Muscle relaxation: Tightening muscles for a more youthful look.

The procedure can be performed on the upper eyelids, lower eyelids, or both, and can be tailored to individual needs.

Benefits include:

  1. Improved appearance: Reduced signs of aging.
  2. Enhanced vision: Removing excess skin that obstructs vision.
  3. Boosted confidence: Feeling more refreshed and youthful.

If you’re considering blepharoplasty, consult with an experienced surgeon to discuss your options and determine the best approach for your individual needs.