Eyelid, Lacrimal System & Orbit

It specifically deals with the following conditions:

• Exophthalmos or “bulging eye” with upper eyelid retraction
  Encountered in cases of thyroid disease.
• Eyelid and periocular area tumors
  The latest tumor removal techniques are performed, with the least possible tissue damage. Other conditions that can be treated include basal cell carcinoma-epithelioma, squamous cell carcinoma and sebaceous gland carcinoma and melanoma. After surgically removing the tumor, the best possible reconstruction of the eyelid defects is ensured.
• Blepharoptosis
  It may present functional and aesthetic problems (visual field limitation, sleepy look or tired eyes) due to injury, use of contact lenses, degeneration, myasthenia or congenital.
• Ectropion
  The eyelid weakens and turns downwards or outwards.
• Entropion
  The eyelid folds inward.
• Cosmetic ophthalmology
  Eye wrinkles (crow’s feet, upper/lower eyelid wrinkles, etc), dark circles, eyelashes, eye shape, etc.
• Dermatochalasis, combined with orbital fat prolapse (baggy eyes)
  It may be corrected with blepharoplasty or with hyaluronic acid in the lacrimal sulcus (tear trough).
• Tearing 
  (e.g. lacrimal duct obstruction), with possible accompanying lacrimal sac inflammation, which constitutes a source of eye infection The eyelids and the lacrimal apparatus must be in perfectly normal condition prior to any procedure performed in the eyes. The latest endoscopic techniques are performed, which are suture- and scar-free (endoscopic dacryocystorhinostomy).
• Dry eye syndrome
  It is treated with the latest technology. Studies have shown that 5-30% of the general population is affected by dry eye syndrome. The eyelids and the lacrimal gland are a contributing factor to this significantly high rate.
• Facial nerve paralysis
  The symptoms include lagophthalmos, tearing, eyelid ectropion, and mid and upper face drooping.
• Blepharospasm, eye/facial twitching, hemifacial spasm, Meige’s syndrome, eyelid and facial paralysis reconstruction following a stroke.

• The eyelids and the orbit are highly vascularized tissues where various autoimmune diseases (e.g. sarcoidosis, lupus erythematosus) and tumors (lymphomas, other tumors, and various malignancies or metastases) may develop. Besides, many anticancer medications may cause obstruction of the lacrimal canals, resulting in tearing. Therefore, a number of specialists, such as internal medicine physicians, rheumatologists and oncologists, are involved in the treatment.

• Eye inflammations
  They are most often encountered in post-menopausal women or women undergoing hormone replacement therapy.
• Removal/enucleation and restoration of the anophthalmic orbit
  In the event of removal of the eye (due to tumor or severe injury) or if a patient has lost an eye, orbital implantation and ocular prosthesis may be performed, thus achieving aesthetic restoration.

For Children: the conditions treated using the latest techniques include lacrimal duct obstruction, hemangiomas, congenital blepharoptosis, traumatology of accessory organs of the eye (eyelids, lacrimal apparatus), orbital tumors, eye enucleation following retinoblastoma or injury, as well as aesthetic reconstruction, grafts, microphthalmia and anophthalmia.