We, at H. V. Desai Eye Hospital, are proud to announce that, we have started a  Department of Ophthalmic Plastic Surgery & Orbit and Ocular Oncology, as a full-time facility at our institution. This specialty department, deals with various diseases and tumours, involving the eyelids and structures around the eyes. A vast number of structural as well as functional anomalies, can be found in structures,that surround ones eyeball. They can be found present since birth (congenital) or acquired later on in life.

Most of the disorders are treatable, if diagnosed and managed early in their course. It is therefore most essential to get yourself evaluated for possible problems of structures around the eyes. Some of the most common problems and their treatment are described below. Our department Ophthalmic Plastic Surgery, Orbit and Ocular Oncology at H. V. Desai Eye Hospital try to achieve best results by early and prompt intervention.

Eyelid disorders+

Eyelid is the protective covering over our eyeballs. We have 2 sets of eyelids covering each eyeball namely, upper and lower eyelid. In children, problems such as structural defects as well as eyelid malposition e.g. drooping of eyelids (ptosis), inward of eyelid margin (entropion), outwards turning of eyelid margin (ectropion) could be found since birth. Injuries compromising the integrity of eyelid structure can occur in both children as well as adults due to trauma. Swellings, lumps and bumps (eyelid tumors- benign and malignant), eyelid malposition, drooping of eyelids (ptosis), interning of eyelid margin (entropion), outwards turning of eyelid margin (ectropion) abnormalities of eyelashes (trichiasis, districhiasis) are common in adults.

We perform following eyelid procedures:

  • Entropion and Ectropion correction
  • Electrolysis and cryotherapy for districhiasis
  • Ptosis correction
  • Blepharophimosis correction
  • Eyelid retraction correction
  • Lagophthalmos correction
  • Eyelid reconstruction
  • Blepharoplasty
  • Medial and lateral canthoplasty
Orbital diseases+

Orbit is a pyramidal structure, which houses eyeball and its surrounding structures and is lined by bony margin. Various infections (orbital cellulitis), inflammations (orbital inflammatory disease) and tumors (benign and malignant) can affect orbit leading to symptoms like protrusion of eyeball, decrease in vision, double vision, pain and discomfort etc. A detailed evaluation, investigations and appropriate treatment with medication and/or surgery is performed at our institute to take care of these disorders. The bony wall of orbital cavity can get fractured due to trauma; fracture repair with barrier implants is needed for correction.

We perform following orbital surgeries:

  • Orbitotomy (Anterior, anteromedial, lateral and inferior) for excision or incision biopsy of orbital tumors
  • Orbital floor fracture repair with barrier implant
  • Socket reconstruction- Serial socket expansion with conformers, Mucous membrane graft, Dermis fat graft etc
  • Intralesional sclerotherapy for lympho-venous/ venous malformations
  • Orbital exenteration
Diseases of lacrimal apparatus+

Lacrimal apparatus, consists of structures which help in draining of our tears into the nose. The common cause of persistent watering is a block in the draining apparatus for tears (nasolacrimal duct obstruction). When diagnosed in children, a relatively minor operative procedure (probing and syringing) can be performed to overcome the obstruction. Resistant cases in children and adults need a surgical bypass procedure (dacryocystorhinostomy) to correct the problem.

  • Dacryocystorhinostomy (DCR) with or without intubation
  • Dacryocystectomy (DCT)
  • Probing and syringing
  • Fistulectomy
Ocular Oncology+
RetinoblastomaOcular oncology as a branch deals with various tumors that arise on the eyelid, orbit and surface of eyeball as well as in intraocular structures. A timely intervention is needed to save the life, eye and vision of a patient diagnosed with tumor in the eye.

  • Ocular surface tumors-Topical chemotherapy and/or complete excision with adjuvant cryotherapy with reconstruction
  • Intraocular tumors- Photocoagulation, thermotherapy, periocular and intravitreal chemotherapy
  • Eyelid and orbital tumors- Excision and incision biopsy with reconstruction
Retinoblastoma Clinic+

Retinoblastoma is the most common primary intraocular malignancy occurring in children. When diagnosed early, after appropriate treatment it is also proven to be one of the more curable cancers. With the advent of latest knowledge and technology; life, eye and vision preserving treatment is now available at our department.

Facial aesthetics+

As we are all aware, eyes are the most noticeable part of our face. The aesthetic value of face significantly depends upon the size, shape and contour of the eyelids as well as the shape and integrity of eyeball. In facial aesthetic clinic, we take care of unwanted wrinkles, excess eyelid skin, baggy eyelids, uncontrolled involuntary spasms.

Services provided:

  • Injection Botox
  • Blepharoplasty
Artificial Eye Clinic+

Unfortunate incidents such as trauma or tumors can sometimes mandate removal of the eyeball. Such patients are thoroughly counselled regarding the procedure and are also fitted with custom made ocular prosthesis or artificial eyes which are created to match patients other eye to achieve maximum cosmosis and help with patient’s self-confidence and awareness.

  • Custom ocular prosthesis, digital printed prosthesis
  • Custom orbital or facial prosthesis
  • Socket expanders
  • Pressure conformers
Removal of orbital tumor (orbitotomy with excision) LE (Before)
Removal of orbital tumor (orbitotomy with excision) LE (Before)
Removal of orbital tumor (orbitotomy with excision) LE (After)
Removal of orbital tumor (orbitotomy with excision) LE (After)
Correction of drooped eyelid (ptosis) in LE (Before)
Correction of drooped eyelid (ptosis) in LE (Before)
Correction of drooped eyelid (ptosis) in LE (After)
Correction of drooped eyelid (ptosis) in LE (After)