Many factors such as trauma, diseases, genetic predispositions, and other causes can make reconstructive or corrective surgery or treatments of the eyelids necessary for better health and improved quality of life. Our Oculoplastics Center offers a number of surgical and non-surgical treatment options for people who have eyelid deformities, lesions around the eyelids, issues with eyelid closing or blinking, and other issues that require corrective or reconstructive work.
We also offer comprehensive treatment options that can help people who suffer from watery eyes, orbital tumors, facial paralysis, and other diseases and conditions that can negatively affect the natural function of the eyes.
Trichiasis is a common eyelid abnormality in which the eyelashes are misdirected and grow inwards toward the eye. Those inward turning eyelashes rub against the cornea, the conjunctiva and the inner surface of the eyelids, irritating the eye. Lubricants, such as artificial tears and ointments, may decrease the irritant effect of lash rubbing or a surgical procedure may be recommended by Dr. Sajja.
Watering eyes, also known as epiphora, is a condition in which there is an overflow of tears onto the face, often without a clear explanation. People with epiphora have insufficient tear film drainage from the eye(s); instead of all the tears draining through the nasolacrimal system, they overflow onto the face. Treatment options depend on the severity of the epiphora and its causes.
Orbital fractures typically result from severe trauma to the eye socket (the orbit). The eye socket is typically repaired by reinforcing the fractured area with a synthetic implant. The procedure is designed and tailored to the patient’s specific injury.
Eyelid lesions (lumps and bumps) are very common and can be benign or malignant. Biopsy is required for the definitive diagnosis as to whether they are benign or malignant.
Typically, when a benign lesion is suspected, patients prefer elimination of the entire growth; in such cases, an excisional biopsy is recommended. Incisional biopsies are performed when malignancy is suspected; the goal of the biopsy is to sample the lesion along an edge, removing a border that includes both normal and abnormal tissue. This border sample may aid in the diagnosis provided by the pathologist.
The loss of eye closure and blinking is one of the most significant problems associated with Bell’s Palsy/Facial Paralysis. Disruption of this protective mechanism can lead to irritation of the eye, ulceration of the cornea, and blindness. The procedure is initiated by selecting the proper size gold weight for rapid eye closure without the look or sensation of eyelid drooping for natural-looking results.
The eye needs the eyelid for protection. It also needs tears and periodic blinking to cleanse it and keep it moist. There are many conditions such as Bell’s Palsy/Facial paralysis, Exophthalmos (eyes bulging out of the eye sockets), and Sjogren’s syndrome that impair these functions and threaten the eye, especially the cornea, with drying. Sewing the eyelids partially together helps protect the eye until the underlying condition can be corrected.
Tumors and inflammation can occur in the tissues around the eye and may be benign or malignant. Tumors often push the eye forward, causing a bulging of the eye (proptosis). Treatment of orbital tumors includes medication, surgery and/or radiation.
Enucleation is the removal of the eye while leaving the eye muscles and remaining orbital contents intact. This type of ocular surgery is indicated for a number of ocular tumors, in eyes that have suffered severe trauma, and in eyes that are otherwise blind and painful.
Blepharospasm is a neurological condition characterized by forcible closure of the eyelids. There is no cure for blepharospasm. It is generally accepted that botulinum neurotoxin injections (Botox, Dysport and Xeomin) are the most effective treatment available for the reduction of symptoms, but for some patients, oral medications and surgery are options that may help.