Blepharoptosis

Eyelid ptosis or “Blepharoptosis”, also “droopy eyes” is in common language a drop in upper eyelid normal position. This condition can be limited to one eye or can involve both eyes. It often makes one eye look smaller than the other. A few select cases have medical management but quite many require surgery. Special skill, accurate understanding of delicate eyelid structures and precision are essential to a ptosis surgery.

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Blepharoplasty

Is a delicate procedure that comprises of removal of excess eyelid skin, muscle and fat as per doctor’s assessment and individual’s requirements for a more youthful appearance. In the lower eyelid fat can be sculpted or reposited for a natural look. The effect is long lasting. Sometimes an enhancement procedure may be needed

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Facial spasms (perceived by some as facial tics) that Dr. Akruti Desai treats commonly are:

 i) Benign essential blepharospasm (BEB)

 ii) Hemifacial spasms. BEB is an uncommon neurological condition in the umbrella term “dystonia”. In Benign essential blepharospasm individuals experience certain characteristic involuntary spasms of muscles around the eye.

Hemifacial spasms:

What are my treatment options: Once any specific mass pressing the nerve is ruled out, Botulinum toxin injection is the first line of management. It is an office procedure and requires less than 15 minutes depending on the extent of involvement. Relief from spasms is obtained for 3-4 months after which a repeat injection is required for persistent relief. An individual can choose to re-visit the clinic at his convenience:3-4 months interval or more. Oculoplasty specialists are adept at treating these.

Additional investigation like an MRI (Magnetic resonance Imaging) may be asked for by the doctor to look for a dilated vessel compressing the facial nerve in certain cases. Microvascular surgical decompression can possibly give long-term results in some such cases.

Xanthelasma

A harmless yellow deposit in eyelid skin. It is a cholesterol deposit. In about 50% cases, there could be deranged lipid profile, hence doctor may advise to get your cholesterol triglecerides etc. tested. In this case has been removed by surgery.
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Cicatricial Ectropion

Here a 25 year old gentleman has developed left lower eyelid eversion (ectropion) and retraction due to a scar following an accident. The eyelid position has been restored with a full-thickness skin graft taken from behind the ear.
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Artificial Eye

  • An artificial eye is a prosthetic eye which cannot see but gives a near natural appearance to an individual . It is used in those who have lost an eye to an injury/ accident or disease.
  • Ocularistry is the technique and art of making artificial eyes
  • Customised prosthesis is created by taking patients measurements and hand painted to match the fellow eye of the patient.
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