Eyelid abnormalities
There are several eyelid problems that can be present at birth or that can result from injuries or aging. These conditions are normally treated with surgery to reposition specific muscles.
Examples include:

• Ptosis - the drooping of the upper lid
• Entropion - the turning in of the lower lid
• Ectropion - the turning out of the lower lid

Eye socket injuries, cancers and other problems
The eye socket is subject to certain injuries, tumors, and congenital abnormalities that can be corrected with outpatient surgery. Oculoplastic surgeons are also instrumental in treating ocular tumors.

Tear Duct Surgery
Dry eye is a common condition affecting over 40% of the population. The condition worsens with age and is more common in post-menopausal women. Symptoms of dry eyes include irritation, redness, pain and blurred vision. Often, these symptoms can be relieved with over the counter tear replacement drops. When severe, a procedure to place tiny plugs in the tear ducts can keep the tears in the eyes longer, providing relief of symptoms. Watery eyes on the other hand, are usually a sign of blocked tear ducts resulting from infection, injury, or tumor. Tear duct surgery may be performed to open or bypass the duct and allow the tears to drain directly into the nose. Tear duct surgery can be performed through a small incision in the corner of the eye or with endoscopic surgery (with a tiny microscope) through the nose.

Thyroid Eye Disease
Thyroid eye disease (a condition of Graves’ disease or hyper-thyroidism) causes the eyes to bulge forward and the eyelids to retract. This leads to double vision, severe inflammation, discomfort, dry or watery eyes, corneal abrasions, infections, and possibly loss of vision. Surgery for thyroid eye disease involves expanding the bones of the eye socket to allow the eye to fall back. Muscle surgery can then be performed to alleviate double vision. Eyelid surgery is often the last stage of rehabilitation whereby the eyelids are lowered, yielding a more natural, aesthetically pleasing appearance and reducing the chance of future eye-related complications.

Facial muscle disorders can impact vision, as when a repeated involuntary muscle contraction produces a disturbing winking motion. Contractures, facial injuries and other conditions can be treated with BOTOX®, a substance that relaxes the muscle for three to six months. BOTOX® injection is a short, 15-minute procedure. Continued treatment carries some risks, so it is important to choose a physician who is experienced with BOTOX® and very knowledgeable about the eyes and their surrounding anatomy.

Reconstructive Procedures

• Ophthalmic Plastic and Reconstructive Surgery
• Eyelid, Lacrimal and Orbital Surgery
• Endoscopic Facial Surgery
• Reconstruction of the eyelids and tear drainage system
• Treatment of trauma and tumors affecting the upper face and eye sockets
• Treatment of thyroid eye disease (Graves')