Droopy upper eyelids
Ptosis, blepharoptosis, dermatochalasis
Descent of the eyebrows, upper lids either congenitally or acquired may result in encroachment of the upper lids on the superior field of vision. This may occur by a variety of mechanisms, including: age-related with weakening of the muscles that elevate the eyelid, excess skin and fat in the upper lids resulting in a mechanical forces depressing the upper lid, trauma, prior surgical procedures to the eye or lids, or congenital defects. The droop of the upper lids may obscure the superior field of view and limit normal daily activities such as reading, driving, or watching TV.
Eyelid malpositions
Eyelid margins rolled in ( entropion ), rolled out ( ectropion ), misdirection of eyelashes ( trichiasis, distichiasis), excessive widening of eyelids ( retraction).
Tearing
epiphora
Careful examination of tear production and drainage ( lacrimal ) system which involves assessment of the lacrimal gland, ocular surface, eyelids, tear canals, lacrimal duct, and nasal cavity can reveal causes of chronic tearing or recurrent infections.
Trauma
Broadly categorized into lacerating and blunt injuries may involve the eyelids or eye socket ( orbit). Careful assessment and surgical expertise of the local anatomy for potential injury to the eyelids, underlying structures, tear drainage canals ( canaliculus), and orbital bones is critical to restore the normal appearance and function to the eye area.
Eye Socket
Orbit
The orbit the pyramidal shaped bony structure surrounding and protecting the eye. There are a variety of conditions that can affect this area. These can be broadly categorized into Inflammations or Tumors. The most common inflammatory condition to affect the orbit in adults is thyroid-related eye disease associated with systemic GravesŐ disease. Inflammation may also have an infectious origin ( Orbital cellulitis), typically associated with adjacent sinus disease. The tumors affecting the eye socket can be broadly characterized into benign and malignant. Some may be safely watched, while others require surgical removal.
Eyelid Lesions
Numerous disorders may invlove the skin in the eye region including inflammations (infectious or non-infectious) or tumors ( benign or malignant). Skin tags and cysts are the most common eyelid growths. The spectrum of skin cancers encountered in the eye region include: basal cell carcinoma, squamous cell carcinoma, and melanoma. Following removal of these lesions, expert reconstruction of the eyelid area provides the greatest potential for an excellent functional and aesthetic result.
Loss of an eye
Anophthalmia
Removal of an eye may be required in the management of certain intraocular tumors ( eg, melanoma, retinoblastoma) or other aggressive tumors surrounding the eye, following severe trauma to the eye, or to control intractable eye pain. Meticulous surgical technique coupled with post-operative fitting of an ocular prosthesis by an ocularist- a specialist skilled in the fabrication and maintenance of artificial eyes- can provide patients with the best possible results.
Whether or not you remember me, I will never forget you. No matter how old I live to be, I could never thank you enough for saving my eye. Three years ago, I broke my cheekbone and everybody thought I was going to lose my eye. I was so scared and terrified about losing my eye because the break had been right next to my eye. I remember thinking that my situation was a hopeless one.
If you hadn't been born, Dr. Rubin, I believe I would not have my eye. Thank you for the care you gave me when I was in the hospital. You would focus all of your attention on just me- nobody else. Another thing I appreciate is that you gave me confidence by telling me that I would make it and that I would not lose my eye which made me believe that I would be okay. Another thing you did for me that I appreciated was treating me very nicely, by always joking with me and talking about sports. You gave me confidence by telling me that I was going to be okay and that I would not lose my eye. I especially liked when you told me the truth on how bad the injury was and how long I be out of action rather than telling me a lie to make me feel good. You are a gifted Physician and I am lucky to have known you.