OCULOPLASTIC ORBITAL
AND
COSMETIC EYELID SURGERY
OCULOPLASTIC ORBITAL AND COSMETIC
EYELID SURGERY
Your eyes reveal expression, emotion,
and what you feel to those around you. With aging, or due to heredity, the eyelids may
undergo changes which can make an otherwise youthful individual appear tired, sad, or even
angry. Through cosmetic eyelid surgery, fatty bags under the eyes, excess skin and fat of
the upper eyelids, and drooping eyebrows can be dramatically improved.
WHAT IS AN OCULOPLASTIC SURGEON? An Oculoplastic
surgeon is an ophthalmologist who has specialized training in "Cosmetic and
Reconstructive Eyelid Surgery", the subspecialty of ophthalmology that deals with the
diseases and surgery of the eyelids, the tear system, and the orbit (the bones around the
eyes).
Dr. Goldberg concentrates on cosmetic and reconstructive eyelid surgery. He understands
how your eyelids function and how to keep them healthy.
EYE CONDITIONS TREATED BY AN
OCULOPLASTIC SURGEON
Ptosis (Droopy Eyelids) - is a
drooping of the eyelid that interferes with your vision. It can be related to aging
changes, but may also be congenital and seen in children).
Entropion (in-turning of the eyelid) - is a disorder in which the
eyelid turns inward causing the eyelashes to rub against the cornea. It may be episodic at
first, but tends to become constant with time. It causes pain and a foreign body sensation
and leaves the eye red and teary. Untreated it can cause decompensation or infection of
the cornea.
Ectropion (out-turning of the eyelid) - is caused by a loosening
of the tendons supporting the lower eyelid. It causes the lower eyelid to gap away from
the eye and turn outward, exposing the under surface of the eyelid. It produces a red
tearing eye which can become infected.
Blepharospasm - is a bilateral condition causing spasm, blinking,
and closure of the eyelids. The spasms mare mild at first but frequently progress in
severity and frequency and can incapacitate an individual due to the inability to open the
eyelids. After a medical evaluation the disorder can be treated with injections of Botox. Occasionally, surgery is necessary.
Dry Eyes - is a condition caused by lack of tears. In cases when
drops and ocular lubricants have failed to control the symptoms, the tear drainage system
can be closed with plugs or can be closed with cautery. This will increase the retention
of the patient's tears, which are the best lubricant of all.
Excessive Tearing - is caused when there is increased retention
of tears and the eyelid does not have the capacity to hold them. The result is tear
overflow down the cheek. Further, increased tears can cause significant difficulty
reading, especially when looking through bifocals and occasionally can cause infection.
The cause may include allergies, eyelid disorders, or an obstruction of the tear drainage
system.
Bells Palsy - Damage to the facial nerve is the main cause of
Bells palsy. This damage prevents proper closure of the eyelids and may cause drooping of
the eyebrow. If the condition does not improve on it's own, certain surgical procedures
can be performed, including elevation of the eyebrow, tightening of the lower eyelid, and
gold weight insertion to improve upper eyelid closure.
Not every condition
is listed. Consult Dr. Goldberg if you have any questions about a condition not described
here.