It is usually a congenital, benign vascular tumor. They may be blue, purple or red. They usually shrink spontaneously as the age progresses. Therefore, treatment is not necessary if the tumor is not too large and does not pose the risk of inducing lazy eye.
Cosmetic & Reconstructive Eye Surgery
Oculoplasty (Cosmetic & Reconstructive Eye Surgery)
Eyelid deformities, cosmetic eyelid surgery, eyelid tumors, eye diseases related to thyroid disease, prosthetic eye surgeries are under oculoplasty’s application fields.
- Radio Frequency Treatment
- Blepharoplasty (Eyelid Sagging – Blepharochalasis)
- Pterygium
- Eyelid Disorders
Diagnosis and treatment of lacrimal sac diseases should be done by ophthalmologists and surgical decision should also be given by ophthalmologists.
- Radio Frequency Treatment
Radio-frequency wrinkle removal treatment, which is a new pain free method, stands out among the latest technologies. This therapy reduces the fine wrinkles around your eyes and your skin to a noticeable degree. It results in a new and natural fresh look without damaging the skin. This technique does not use anesthesia since there is no pain involved, just a feeling of heat can be felt.
Radio-frequency wrinkle removal is a non-surgical treatment that is used for skin wrinkle removal with the help of improved radio frequency waves.
Eye contour aesthetics by radio frequency treatment had been FDA approved since 2009 and it can be used in the treatment of light to medium degrees of wrinkles caused by aging without the need for surgery.
The radiofrequency treatment, which is performed using the power of radio frequency waves (4 Mhz), removes the temperature of the area around the eye by applying wrinkle removal treatment to the level determined for the patient, thus triggering the production of the necessary collagen to ensure a tighter and smoother skin.
This method is usually applied to middle-aged women and men who are uncomfortable with sagging skin, lines or wrinkles, yet it does not have a certain age range and can be easily applied to people with sensitive and light skin.
Another advantage of radio frequency wrinkle removal treatment is that since no anesthesia is used, the patient can immediately return to their social life and the treatments effects can be noticed in a short time.
What you need to know about wrinkle removal treatment around the eyes with radio frequency:
- The number of sessions varies depending on age. 3 sessions can be applied with one month intervals.
- The effect of radio frequency treatment may remain for up to 6 months to 2 years depending on the individual. At the end of these periods, wrinkle removal treatment can be repeated optionally.
Eyelid Sagging (Blepharoplasty)
Our eyelids have a special structure. Eyelids, eyebrows and eyelashes not only protect and provide a humid environment for our eyes, but also reflect emotions in social situations.
Over time, undesirable changes may occur in our upper and lower eyelids due to gravity and sag with the surrounding fat tissue. The low and sagged upper eyelid and swollen bags under eyes give a constant tired and depressed expression. This tired and aged expression dominates the whole facial expression even if the overall facial emote is nice since our eyes are the basis of our facial expression.
In some people, sagging eyelids or prominent bags under the eyes may be genetic and occur even at a very young age. In most people, it is a process that develops along with aging. Eyelid skin is short and tense in young people. With increasing age, the upper eyelid skin loosens and flexes, forming a second layer and sag. In severe cases, this sagged skin extends to the eyelashes and may even cross this line and prevent vision. This type of serious excess sagging will cause the constant need to pull the eyelid up to see, which is quite bothersome for an individual. Usually this situation develops over a long period of time, so most people are not aware of it. The lower eyelid skin loosens and hangs forming bags under the eyes.
In addition to loosening of the skin, fat tissue around the eyeball comes forward and herniated over time. This is due to the effect of gravity, which weakens the tissue that holds the fat tissue in place.
Treatment for this is surgery. Blepharoplasty is also used in these surgeries where the excess drooping or bags forming around the eye and subcutaneous fat tissue are partially removed and reconstructed to give a healthier and more aesthetic appearance. The operation takes 20 minutes on average for each eyelid. The operation is done using local anesthesia and sedation (sedative drugs). There is no need for hospitalization, cold (with an ice bag) is applied for 24 hours after the surgery. Antibiotic eyedrops and pomade is prescribed and the patient can return to normal daily life within 1 week.
Pterygium
The corneal layer forms the frontal segment of the eye. Pterygium disease, is the presence of a tissue known as fibroblastic tissue on the corneal layer. This tissue usually grows, causing both cosmetic deformities and visual impairment. While the pterygium is initially slightly veined, it gradually makes its way towards the corneal layer and gets attached there.
- While pterygium causes problems such as the growth of tissue inside the eye, itching and stinging, it also disrupts vision as its progression causes astigmatism. Pterygium causes astigmatism by pulling the cornea towards itself.
- Eyeglass Number Constantly Changing
- Meat Growth Inside the Eye
- Red Eyes, Burning, Itching, Stinging
- Red Eyes After a Bath/Shower
- Inability to Look at Light
People with pterygium in the family history are among in the most important risk group. Exposure to sun (outdoor work), heat (furnace and welding workers) and dust are the most important factors in disease’s development. Allergic eye diseases, associated with the frequent rubbing of the eye during childhood, may also increase the progression of this disease.
The treatment for pterygium is through surgery. In our hospital “Pterygium Excision and Limbal Conjunctival Graft Application” operation is a highly specialized surgery since if the treatment is not directed towards the cause of the disorder, recurrences may occur. The success chance of a good surgery varies between 86-95%. Pterygium surgery is a very special surgery. It’s not enough to remove pterygium. If the pterygium is removed and the region is not closed with a graft, there is a 50% chance of recurrence of the disorder. For this reason, pterygium excision and limbal conjunctival graft surgery and Mitomicin C drug applications are very important in the treatment of this disorder.
How is it applied?
Before the procedure, the eye is anesthetized with topical anesthetic eyedrops. Pterygium tissue is removed from the cornea and conjunctiva in a sterile environment under operating room conditions. The cornea is cleaned. The spare conjunctival tissue located within the upper eyelid is removed limbal conjunctivally based on the size of the pterygium and sewn to the excised area. Since dissolvable stitches are used, there is no need to remove stitches after the surgery. After the procedure, the eye is patched for an evening. The patch is removed during the check-up next day.
What Should I Watch Out for After Pterygium Surgery?
There is no pain during the surgery. There may be a stinging sensation in the eye for 3-4 days and redness for 1 month after the operation. An eye drop will be prescribed to be used for 3 weeks after the surgery. Using sunglasses may help in slowing down the progression of pterygium. Also sunglasses will help the patient be more comfortable. Since dissolvable sutures are used during the operation, removing the stitches are not required. Patient might need new glasses for long or short distance post operation. Glasses will be replaced at least a month later.
Eyelid Diseases
Hordeolum or chalazion is an inflammatory condition accompanied by pus that occurs in or close to the eyelid of the disease. Hordeolums present with swelling, pain, and a feeling of red pellet-like mass on or around the eyelid. Sometimes it is accompanied by yellowish dandruff or burr on the lid edges. It is frequently seen in individuals who suffer from inflammatory diseases of the eyelid. Generally, the first approach in treatment is drug therapy and warm compresses. Drug treatment can be made with one or more types of medication. If disease does not respond to drugs or the disease becomes chronic, surgical treatment may be necessary.
Another common problem is drooping of the eyelid called ptosis. The upper eyelid falls and sags over the upper visual field. It is usually due to the poor development of the eyebrow during infancy. It may also be triggered by aging due to the muscles lifting the eyelid wearing out over time. Besides, it can be caused by damage to the nerves that connect to these muscles. The eyelid droops even more in the cases where there is difficulty in keeping the eyelid open or pain in the forehead area especially during reading. In very serious cases, the head position develops. In children, ptosis may be accompanied by amblyopia (lazy eye), strabismus or sight impairment. The treatment is surgery. If the muscle that lifts the eyelid has some function, surgery is performed to strengthen this muscle. If there is no function in the muscle that lifts the eyelid, the eyelid is attached to the muscle on the forehead. The main purpose of the surgery is to adjust the eyelid space required for normal vision and to create the best symmetrical image with the other eye. If the patient’s age is appropriate, surgery is performed under local anesthesia, if not, under general anesthesia. The average operation time is about one hour. Surgery is performed within the eyelid fold, so there is no visual scar marks. The important thing is to remove the mass before it grows too much.
Inverting eyelids and eyelashes may cause destruction of the superficial layers of the eye, causing stinging, pain and in advanced cases, corneal (transparent layer of the eye) damage and vision loss. This disorder should be corrected surgically.
If the lower eyelid turns outwards and contact to eye ceases, tear distribution will not be sufficient. This can lead to dry eye or infection. Lachrymation, stinging, burning symptoms may occur. Normal eyelid position can be restored by surgical intervention.
In the treatment of eyelid masses that fall within the scope of ophthalmology, plastic and reconstructive surgery and dermatology specialists, main goal might seem like it is to eliminate the mass, although the primary goal is to maintain the anatomical and physiological functions of the eye and manage the anatomical and cosmetic image of the eye.
Eyelid lesions consist of groups such as; tumors, infections and degenerative lesions.
Popularly known as eye freckles, eyelid nevuses are common benign tumors. At birth they are lighter in color and they become darker over time. They rarely turn into a malignant tumors. Nevuses that impair vision or suspected malignant tumors can be surgically removed.
They can be spotted as small, flat, symmetrical and lesions with a pit in the middle along the edges of the eyelid. They may cause inflammation if spreads into the conjunctiva. They are easily treated through surgery.
They are yellow-white colored cholesterol deposits that can be seen on both eyelids. It can be seen in older adults, people with high cholesterol levels, or in very young people. It is harmless, but it can make the person uncomfortable with their visual appearance. They can be surgically removed as a treatment. As the skin around the eyes has active blood circulation and it is a thin layer, surgical wound heals smoothly and there is almost no scar left on the eyelid after healing. The operation is performed with local anesthesia by anesthetizing the eyelids with an injection. There is no need for hospitalization, cold (with ice bag) is applied for 2 hours after surgery, antibiotic eyedrops and pomade treatment is given and the patient can return to normal life after 1 day.
