Oculoplasty

OCULOPLASTY or OCULOPLASTIC SURGERY are surgical procedures involving the orbit, eyelids and surrounding tissues.

• Congenital defects of the orbit and eye
• Tear duct diseases
• Eyelid deformities and dysfunctions
• Orbital and lid tumors
• Prosthetic eye operation and applications
• Orbital trauma

OCULAR PROTHESIS

For people who have lost their eye in any way, congenitally, accidentally or as a result of illness, we call the artificial eye, which is placed in the eye socket to resemble the other eye and can be produced in several different ways, an "eye prosthesis".

For moving prosthesis eye;

In order for an eye prosthesis to be aesthetically acceptable, it is required to be in harmony with the other eye in terms of color, shape, size as well as movement.

A porous implant (ball) is placed in the empty socket of the eye. The most commonly used material is "hydroxyapatite" implants made from coral obtained from the sea, which acquires the properties of human bone after being subjected to a special treatment.

Once these hydroxyapatite ball is surgically placed in the eye socket, it becomes a living part of the body as the vessels fill the pores.

Once the vascularization or blood supply is complete, a second procedure is performed to insert a pin that will transfer movement to this implant (ball).

Movement of the prosthesis is made possible with a connection between the socket to be prepared on the back of the eye prosthesis and the pin.

Droopy Eyelids and Under-Eye Bags

It is usually hereditary and/or due to aging. Smoking or allergies can cause drooping eyelids at a younger age. Bags around the eyelids contain loose skin, muscle, fat and in some cases fluid.

Blepharoplasty is a surgical procedure to correct these abnormal structures. It may be for functional reasons or cosmetic.

Eyelid drooping

Drooping of the eyelid (ptosis) is having the upper eyelid level lower than normal. This droopy shape can close the pupil and impair vision. In severe cases, position of the head is changed or manual lifting of the eyelid is used to restore vision.

A drooping eyelid may be congenital due to underdevelopment of the muscle that lifts the lid, or it may be due to aging. In congenital cases it is necessary to shorten the weak muscle or use a sling in more severe cases. Droopy lids may also develop after eye surgeries such as cataract and decollement.

Eyebrow Droop

Like other parts of the face, eyebrows lose their elasticity and droop with age. Eyebrow drooping can be severe enough to prevent the upper eyelid from opening. Forehead and/or eyebrow lifting are the surgical procedures that allow the eyebrow to be restored to its former state. This procedure can be performed alone or in combination with blepharoplasty and can be performed for functional or cosmetic reasons

Inward turning of the eyelids (Entropion)

Inward turning of the eyelids and eyelashes can cause damage to the superficial layers of the eye, symptoms such as stinging, tearing, pain, and in advanced cases, scarring on the cornea (the transparent layer of the eye) and loss of vision. This condition should also be corrected surgically.

Outward turning of the eyelids (Ectropion)

If the lower eyelid turns outward and contact with the eye is interrupted, the tear distribution will not be sufficient. This can lead to dry eyes and infection. Symptoms such as tearing, stinging and burning may occur. Surgical intervention allows the eyelid to return to its normal position.

Involuntary Closure of the Eyelids (Blepharospasm)

This problem is more common in women, it usually occurs after the age of 40. The reason is excessive contraction of the muscles that close the eyelids without the will of the patient. Therefore, the eyelids close even if the patient does not want them to. Patients have difficulty living their daily lives and require the help of others. Medicines called botulinum toxin are primarily used for treatment. This medicine is injected at specific points on and around the eyelid and prevents excessive contraction of the eyelid muscles. The effect period of the drug is usually 3-4 months. After this period, treatment may need to be repeated.

Having Eyelids More Open than Normal (EYELID RETRACTION)

It involves having a wider eyelid gap than normal and can lead to dry eyes. The reason is mostly thyroid (goiter) disease. It can also occur as a result of overcorrection after a droopy eyelid surgery. It can be corrected by surgery.

Wrinkles around the eyes and forehead

Wrinkles around the eyes and on forehead are due to changes in the skin with age. Excessive contraction of the muscles under the skin is also a factor that increases skin wrinkles. Botulinum toxin injections, fillers and various surgical methods can be used to correct skin wrinkles. While botulinum toxin injections prevent excessive contraction of muscles, fillers replace tissue loss in the skin. Both treatments are performed on an outpatient basis and the patient can continue with their normal daily life after treatment.

Eyelid Cancers

The incidence rate of eyelid skin cancer is not low and is increasing. New or growing masses on the eyelids should be carefully examined for the possibility of tumors. The oculoplastic and reconstructive surgeon uses various techniques to remove these tumors and restore the eyelid. As is the case with all tumors, early diagnosis and treatment is important.