THE VALUE OF GÕOD EYESIGHT
Oculoplastic surgery is a specialty of ophthalmology dedicated to the study and treatment of diseases of the eyelids, diseases of the tear duct and pathologies of the eye orbit. Surgeons specialising in oculoplastic surgery also perform eyelid surgery procedures, blepharoplasty or periocular cosmetic surgery.
At visiõnclínic+ we offer the full range of surgical options to restore the youth and expressiveness lost naturally with age or as a result of some pathology to your eyes.
Dr. Jessica Matas
Ophthalmologist specialist in oculoplastic surgery
FIRST VISIT AND EYE EXAMINATION
Before oculoplastic surgery we must carry out a thorough preliminary study to rule out contraindications for the intervention and determine the best surgery for each patient. Request an appointment without obligation.
WHY CHOOSE VISIÕNCLÍNIC+ FOR YOUR OCULOPLASTIC SURGERY?
Our surgeons are industry leaders and specialists in ocular plastic surgery. Dr. Jessica Matas is our top specialist in correcting problems of the periocular facial structures and is fully trained to perform the necessary invasive procedures on the eyelids, orbit or tear duct.
The new surgical area of visiõnclínic+ is equipped with high-tech equipment for oculoplastic surgery: we can treat all alterations and pathologies of the eyelids with local anaesthesia on an outpatient basis. In all treatments, the physical improvement of the patient is sought, as well as the recovery of the function of the eye and its attached structures.
At visiõnclínic+ we have a team made up of ophthalmologists from the Clínic Barcelona and barnaclínic+, specialists not only in oculoplastic surgery, but in all areas of ophthalmology. In addition, we work with a team of optometrists, which allows us to offer a comprehensive range of services in support of your visual health. Finally, being part of the Clínic Barcelona Group, we are in contact with professionals in those areas of care who may be involved in the treatment.
LEADERS IN RESEARCH
Belonging to a university hospital such as Clinic Barcelona means we are always up-to-date on the latest developments through continuous research carried out by all visiõnclínic+ staff. Our expert professionals in eye plastic surgery have published studies in the main scientific journals of the specialty. In addition, the commitment to a translational research model makes us capable of transforming scientific knowledge into tangible results for the patient.
TREATMENTS BASED ON SCIENTIFIC EVIDENCE
All the treatments we offer at visiõnclínic+ and, in this case, the different oculoplastic surgery options, are based on scientific evidence. The health of our patients comes first and, for this reason and to ensure their safety, we base our care on published scientific articles.
WHAT IS OCULOPLASTIC SURGERY?
Oculoplastic surgery or ocular plastic surgery is the field of ophthalmology responsible for correcting or treating the defects of the periocular facial structures: the eyelids, the orbits and the tear ducts.
This area encompasses a wide variety of procedures for the treatment of congenital or acquired diseases and conditions related to the periocular structures such as bags, ectropion, entropion, eyelid ptosis, eyelid retraction, eyelid tumours and lesions, thyroid orbitopathies, facial palsy, ptosis eyebrow, aesthetic alterations, etc.
¿QUÉ ES LA CIRUGÍA OCULOPLÁSTICA?
La cirugía oculoplástica o cirugía plástica ocular es el campo de la oftalmología encargado de corregir o tratar los defectos en las estructuras faciales perioculares: los párpados, las órbitas y las vías lagrimales.
Esta área abarca una gran variedad de procedimientos para el tratamiento de las enfermedades y condiciones congénitas o adquiridas relacionadas con las estructuras perioculares tales como: bolsas, ectropión, entropión, ptosis palpebral, retracción palpebral, tumores y lesiones palpebrales, orbitopatias tiroideas, parálisis facial, ptosis de ceja, alteraciones estéticas, etc.
WHAT CAN WE TREAT WITH OCULOPLASTIC SURGERY?
EYELID SURGERY OR BLEPHAROPLASTY
The eyelids carry out an important task in the development of the visual function, since they protect the eyes and help with their lubrication. They can be affected by a multitude of problems that are diagnosed and treated through oculoplastic surgery.
Bags and excess skin on the eyelids are a consequence of the passage of time that greatly influence the expression of the gaze and can give an image of fatigue. Blepharoplasty is the definitive surgery to correct these age-related changes and achieve a more energetic and rested look without affecting the facial expression. The surgical procedure is based on the removal of excess skin from the upper eyelids (upper blepharoplasty) and/or the removal of the lower fat bags (lower blepharoplasty).
Malpositions of the eyelids are also a frequent cause of consultation. The drooping of the upper eyelid, or palpebral ptosis, can give a fatigued look, and sometimes cause vision loss by partially closing the field of vision. Its correction makes it possible to rejuvenate the look and achieve symmetry between both eyes. Other frequent affects on the eyelids are eyebrow ptosis (lowering of the eyebrow with respect to its natural position), ectropion (outward rotation of the eyelid) or entropion (inward rotation of the eyelid). Other diseases such as facial paralysis or facial dystonias (blepharospasm and hemifacial spasm) can cause ophthalmological problems and affect visual function.
Eyelid tumours are also common. Most are benign, such as warts or cysts. Eyelid surgery is usually the treatment of choice. However, we also often see malignant tumours (cancer) that require evaluation and treatment by an oculoplastic surgeon.
Blepharitis is a chronic inflammation of the eyelid rim that is associated with dry eye and causes significant discomfort. On the other hand, styes and chalazions are inflammatory cysts that sometimes require eyelid surgery or blepharoplasty.
The passage of time affects the eyelids in a very marked way, where bags, marked wrinkles, sagging skin, etc. form. All these conditions cause an appearance of ageing, tiredness and even sadness, in one of the most visible areas of the body. Because of this, many patients wish to solve their problem of eyelid bags or droopy eyelids.
The term facial rejuvenation is used to define the set of techniques to correct the manifestations of skin ageing.
Depending on the type of manifestation that will be rejuvenated, one technique or another will be used:
· Wrinkles can be treated with botulinum toxin or hyaluronic acid infiltrations. The treatment of wrinkles between the eyebrows, forehead and crow’s feet, with infiltrations to relax the muscles, can significantly enhance the look. The result is a more relaxed and rejuvenated appearance without losing the naturalness and expressiveness of the face.
· The use of botulinum toxin, in some cases, allows the lifting of the eyebrow with natural results.
· Loss of face volume or glasses can be treated with the use of infiltrations.
· Blepharoplasty surgery makes it possible to permanently correct bags and drooping eyelids.
DISEASES OF THE EYE ORBIT
The most important diseases of the eye socket are inflammations:
· INFLAMMATION OF THE EYE ORBIT | THYROID ORBITOPATHY
El tipo de inflamación de la órbita ocular más
The most frequent type of inflammation of the eye socket is thyroid orbitopathy, which mainly appears in patients who have hyperthyroidism. This pathology of the eye socket is accompanied by: exophthalmos (“jumpy eyes”), red and painful eyes, inflammation of the eyelids with the formation of very visible eyelid bags, double vision and pain when moving the eyes. The treatment of thyroid orbitopathy is long and complex. This is why, during the process, it is essential that the patient feels accompanied and advised at all times in order to treat the difficulties that accompany this disease. Our close relationship with other specialists at the Hospital Clínic offers a dynamic and reciprocal link of knowledge that allows us to offer comprehensive care to our patients.
· ORBITAL TUMOUR
Orbital tumours can be of many types and cause different symptoms such as progressive loss of vision and exophthalmos (“bulging eyes”).
· OCULAR EVISCERATION | EYE PROSTHESIS
In patients with blind and painful eyes, or with a severely impaired aesthetic appearance of the eyeball, enucleation or evisceration surgeries can sometimes be performed to relieve pain and improve appearance through the use of eye prostheses.
OBSTRUCTION OF THE LACRIMAL DUCT
The most common problems are tear duct obstructions, which cause epiphora or tearing, chronic conjunctivitis, discharge, blurred vision, or infections of the tear sac (acute dacryocystitis). Obstruction of the tear duct is a very common eye disease, which can affect people of any age and sex.
The most frequent ophthalmological and oculoplastic surgeries performed for the treatment of tear duct obstruction are punctoplasty (opening of the tear punctum) and dacryocystorhinostomy (DCR), in cases of more significant obstruction. DCR can be done externally, intranasally or with a laser depending on the case.