Orbit & Oculoplasty Clinic
Orbit, Oculoplasty, Ocular Oncology & Ocular Prosthetic Services, is a subspecialty of ophthalmology that handles anomalies of lids, lacrimal drainage system, extra ocular structures, bony orbit and other ocular adnexa.
The Orbit Clinic receives a number of referrals encompassing both common and rare orbital disorders, tumours and infections. These are managed both conservatively (medical management/chemotherapy/ radiation) and surgically with tumour and the tissue being sent for biopsy and histopathological correlation. A large number of patients with thyroid related orbitopathy are also treated in collaboration with the general physician and endocrinologist.
Lacrimal System and Orbit
Nasolacrimal duct obstructions both congenital and acquired are routinely treated, with probing, balloon dacryoplasty, external/endonasal dacryocystorhinostomy and Conjunctivodacryocystorhinostomy with Jones’ tube placement. A number of patients with orbital pathology including orbital trauma are seen in the clinic. Orbitotomy with mass incisional/ excision biopsies and orbital floor fracture repair with implants (silicon, prolene mesh and osteopore) are commonly done. Orbital and wound exploration for foreign body and their removal are also expertly handled.
A number of patients are seen in the Oculoplasty clinic with a variety of eyelid disorders including malpositions (Ptosis, Entropion, Ectropion), benign and malignant eyelid tumours, facial dystonias etc. Congenital lid anomalies including lid coloboma, blepharophimosis, epiblepharon and euryblepharon are also surgically corrected. Surgical corrections for ptosis, entropion, ectropion, post traumatic lid tear / canalicular tear, eyelid reconstructions post tumour removal as well as number of cosmetic eyelid surgeries (e.g. Blepharoplasty) and injection of botulinum toxin (Botox) for facial dystonias and cosmetic indications are being performed.
Adult and paediatric malignancies of eyelids, ocular surface, orbit and globe are diagnosed and managed in the Oncology clinic. Chemotherapy is administered for the relatively common Retinoblastoma, and other rarer ocular and orbital cancers both primary and as adjuvant to surgery and radiotherapy.
Ocular Oncology service
In some cases, we can save a patient’s life, but not sight. Orbital cancers can cause disfigurement and blindness, destroying self-esteem and limiting active participation in the community.
Ocular Prosthesis is an artificial eye or aesthetic model of eyelids and globe which is fit for patients with phthisis bulbs or those whose eyes or orbital contents including the globe have been surgically evacuated. During enucleation (the surgical process of removing the eye), a silicone ball implant is inserted into the eye socket, to fill the area the eye once occupied. An ocular prosthesis is then moulded to fit in front of the implant. It occupies the space between the eyelids and the conjunctiva covering the implant. A silicone facial prosthesis is also fashioned in the department, for patients who undergo exenteration (removal of orbital contents long with the eyeball) for various oncological/ infective indications.