Blepharoplasty

This surgery is performed to remove excess skin, fat, and sometimes muscle from the upper and/or lower eyelids. The goal of this procedure is to improve the appearance of puffy, sagging, or tired-looking eyes and rejuvenate the periorbital area. Occasionally, excess skin on the upper eyelid can also restrict the lateral visual field, a condition that is corrected through this surgery.

Surgery

Before procedure

A precise consultation is essential to understand realistic expectations of the surgical outcome. Smoking must be discontinued weeks before the surgery, as it impairs the healing process. Blood-thinning medications, specific supplements, and herbal products should be discontinued under the surgeon's guidance to reduce the risk of bleeding during the procedure.

After procedure

During the first two days, continuous application of cold compresses significantly helps reduce swelling and bruising. Rest and sleeping in an elevated position with several pillows under the head (semi-reclined) are recommended. Avoid strenuous activities and bending over for at least two weeks. Refrain from sun exposure and using eye cosmetic products until complete recovery.

Complication and alarm signs

Formation of an extensive hematoma (blood collection) which may require drainage, wound infection, development of unpleasant scarring, or asymmetry of results are complications of this surgery. Sensory changes such as numbness or tingling in the eyelid are usually temporary. In rare cases, pulling of the lower eyelid skin may cause ectropion and mild deformity. Visual threatening complications of this surgery are extremely rare.

More to read

Laser

Retinal PDT

PDT is a two-step treatment primarily used for certain types of wet age-related macular degeneration (AMD). First, a light-activated drug called verteporfin is infused into a vein in your arm over about 10 minutes. Second, about 15 minutes after the infusion starts, your doctor will shine a non-thermal ("cold") red laser directly onto the leaky blood vessels in your macula for some seconds. The laser activates the drug only in that precise area, causing the abnormal vessels to seal without damaging the overlying retina. The laser itself is not hot and is not felt by the patient.

Laser

Retinal BL

A Barrier Laser is used to treat retinal tears, holes, or areas of significant thinning to prevent retinal detachment. After dilating and numbing your eye, your doctor will place a contact lens. The laser is applied in a pattern of small burns that surround the tear or weak area. These burns create gentle scar tissue that "spot-welds" or "fences off" the problem area, sealing it to the back wall of the eye and preventing fluid from getting underneath to cause a detachment. The procedure typically takes 5-15 minutes. You will see bright flashes and may feel a slight pulsing sensation.

Surgery

Silicone Oil Removal

Silicone oil is a substance injected into the eye at the end of certain complex vitrectomy surgeries (usually for difficult retinal detachments) to hold the retina in place for an extended period. After the retina has fully stabilized (typically several months to a year later), this oil must be removed in a second surgery because over time it can lead to complications such as glaucoma, cataract, or corneal opacity.

Surgery

Ptosis Surgery

Ptosis refers to drooping of the upper eyelid, which can be congenital or acquired (e.g., due to aging, eyelid trauma, or neuromuscular disorders). In severe cases, this drooping can restrict the superior visual field, cause eye fatigue, or be cosmetically bothersome. Surgery aims to elevate the eyelid to an appropriate level and achieve symmetry with the contralateral eye.

Surgery

Strabismus Surgery

This surgery is performed to correct strabismus (misalignment of the eyes). In strabismus, due to an imbalance in the function of the extraocular muscles, the visual axes of the two eyes are not aligned. This can cause diplopia (double vision), amblyopia (lazy eye), and cosmetic and social problems. The surgery aims to restore eye coordination and alignment by strengthening, weakening, or repositioning one or more of the eye muscles.

Surgery

Phaco with PCIOL

This is the standard treatment method for cataract. In cataract, the eye's natural clear lens gradually becomes cloudy, like a fogged-up window, blurring vision, fading colors, and making night vision difficult. Phaco surgery involves making a small incision in the cornea, breaking up and removing the clouded lens using ultrasound waves, and replacing it with a clear artificial lens (IOL).