Ophthalmic, or ocular, plastic surgery is plastic surgery of the eyelids, lacrimal drainage system and orbit. An ocular plastic surgeon has both a background in ophthalmology and plastic surgery so is qualified to diagnose and treat these disorders.
Several conditions can affect the eyelids, including entropion and ectropion (lower eyelids turning in or out), droopiness of the upper eyelid (ptosis) and bags or hooding of the eyelids (dermatochalasis). Surgeries to correct these conditions include tightening the skin and muscles of the eyelids.
Epiphora (watery eye), caused from an obstruction of the upper or lower part of the tear drainage system, is challenging to diagnosis and treat. The lacrimal drainage system carries tears via a structure called the nasolachrimal duct. Surgery to correct this bypasses the blockage by opening the tear sac directly into the nose, called dacryocystorhinstomy. This can be done by a skin incision at the side of the nose, or by balloon dacryoplasty which uses a catheter threaded upward through the nose into the lacrimal sac.
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