01
Congenital
Gaps in the eyelids, abnormal lid position, abnormal orbit shape or size, and blocked tear passages present from birth can be reconstructed.
M G Eye Foundation/Services/Oculoplasty Services
Oculoplasty Services
Oculoplasty is plastic and reconstructive surgery of the eyelids, tear ducts and tissues around the eye. At M G Eye Foundation, Bara Gamharia, Jamshedpur, plans are individual: function first, then appearance. DR KUMAR SAKET and DR MALAY KUMAR DWIVEDI assess lid position, watering and orbital problems in this hospital.
What is oculoplasty?
Oculoplasty covers operations on the eyelids and surrounding structures. Some procedures correct a structural problem so the eye is protected and tears drain. Others improve appearance after ageing, injury or tumour surgery. The aim is comfort, safety of the ocular surface, and a natural look.
When surgery is needed
When does one need ophthalmic plastic surgery?
Need is judged by function, infection risk and, where relevant, appearance after disease or injury.
02
Traumatic (injury)
Eyelid laceration, scar, orbito-facial fracture or loss of the eyeball can be repaired so the eye works better and looks more natural.
03
Age-related
In-turning or out-turning lids, lashes rubbing the eye, droopy lids, bags and herniated orbital fat are common with age and can be corrected.
04
Tumour
Cancers and other tumours of the lids and orbits are managed surgically. The priority is to protect life and vision, then reconstruct.
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Blocked tear ducts
Watering with discharge and repeated infection can damage the eye and surrounding face. DCR (dacryocystorhinostomy) and DCT (dacryocystectomy) are the operations used.
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Thyroid eye disease
Thyroid disease can swell the lids and orbits and threaten vision. If medicines are not enough, oculoplastic surgery is used to protect the eye.
How it feels
Symptoms
Watering, a lid that will not close, or a lump near the inner corner should be examined, not ignored.
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Watering with discharge
Tears spill because the drainage path is blocked. Sticky discharge often means the sac is infected.
02
Lid turning in or out
Lashes rub the cornea (entropion) or the lid hangs away (ectropion), causing redness and irritation.
03
Droopy lid
Ptosis can cover the pupil, reduce the field of vision and force the brow to lift all day.
04
Lid injury or scar
A cut or old scar may leave the eye exposed or the blink incomplete.
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Swelling of the orbit
Fullness, pain or double vision can come from thyroid orbitopathy, fracture or a mass.
06
A lump on the lid
Not every lump is cancer, but lid tumours need examination and, when indicated, biopsy or excision.
Treatment
After examination of the lids, tear pathway and orbit, surgery is tailored to the defect. Reconstructive work restores protection of the cornea and drainage of tears. Cosmetic work is discussed separately. Complex orbital disease may be planned with allied surgical specialties when the case requires it.
Oculoplasty services provided by us
01
DCR surgery
Dacryocystorhinostomy treats blocked tear ducts in adults by creating a new passage between the lacrimal sac and the nose, so tears drain past the blockage.
02
DCT surgery
Dacryocystectomy removes the lacrimal sac when a new drainage passage is not appropriate, for example in selected infected or damaged sacs.
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Lid repair surgery
Eyelid reconstruction (including blepharoplasty when indicated) restores function and appearance of the lid and periocular area with as little extra morbidity as possible. Outcome depends on the defect, age, health of nearby tissue and surgical planning.
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Orbital surgery
Orbital operations address tumours, thyroid-related orbital disease, fractures and congenital anomalies. Selected cases are planned with ENT, neurosurgery or maxillofacial colleagues so the approach is complete.
On-site equipment
How we operate and examine here
Slit lamp
Assesses lid margin, ocular surface and lacrimal puncta before surgery.
ZEISS LUMERA 300
Provides magnification and illumination for delicate lid and lacrimal surgery.
General anaesthesia machine
Supports safe anaesthesia when the procedure cannot be done under local anaesthesia, including selected children.
Oculoplasty FAQs
Questions patients ask
01What is meant by oculoplasty?
Oculoplasty, or ophthalmic plastic surgery, concerns the eye and its surrounding structures. It is performed to improve function, comfort and appearance for tear-drainage problems, eyelid malposition, skin cancers of the eyelid, socket problems or brow problems.
02Does insurance cover oculoplastic surgery?
Schemes typically cover reconstructive surgery that restores abnormalities caused by birth defect, trauma or disease, when the procedure restores function and a normal appearance. Surgery done only for cosmetic reasons is generally not covered. Confirm papers at the desk before admission.
03What is ophthalmic plastic and reconstructive surgery?
Surgeons in this field operate on periorbital and facial tissues: eyelids, eyebrows, forehead, cheeks, the eye cavity and the tear system. Work includes tear-duct surgery, eyelid and brow lifts, thyroid eye disease, evisceration, enucleation and socket reconstruction.
04What can you not do after eyelid surgery?
Typical restrictions include:
- Do not wear contact lenses for a fortnight after surgery
- Avoid heavy lifting and strenuous exercise
- Do not take full showers until the surgeon says it is safe
- Do not apply creams or makeup to surgical sites for a fortnight
05What is the fastest way to recover from eyelid surgery?
For the first 48 hours use cold compresses to reduce bruising and swelling. Follow all post-operative instructions, rest the eyes, avoid heavy activity and protect the eyes from the sun.
06How long do stitches stay in after eyelid surgery?
Stitches may dissolve, or they are removed 7 to 15 days after surgery. Swelling and bruising of the lid can last 3 to 4 weeks.
Visit M G Eye Foundation
to provide comprehensive eye care services to all the sections of society at affordable cost.
- Plot No. 121, Durga Puja Maidan, Near Vani Vidya Mandir School, Bara Gamharia, Jamshedpur, Jharkhand
- +91 84090 01008
- mgeyefoundation@gmail.com
- Monday–Saturday: 10:00 a.m.–6:00 p.m.. Sunday: Closed
Doctors
DR KUMAR SAKET
Cataract, medical retina and trauma specialist
DR MALAY KUMAR DWIVEDI
Pediatric Ophthalmologist, Cataract and Squint specialist
