Table of contents:
- Eye Conditions Treated by Reconstructive Ophthalmologists
- Actions Performed by Reconstructive Ophthalmologists
- When to Go to an Ophthalmologist for Reconstruction?
- Preparing Before Visiting a Reconstructive Ophthalmologist
Reconstructive ophthalmologists are doctors who have special expertise in treating abnormalities or disorders in the structure and function of the eye, as well as the surrounding area. These areas include the eyelids, bones and eye sockets, tear ducts, forehead, and the center of the face
To become a reconstructive ophthalmologist, a general practitioner must first undergo an ophthalmology education. After completing specialist education, then the doctor can continue his subspeci alty education in the field of eye reconstructive surgery.
Eye Conditions Treated by Reconstructive Ophthalmologists
The following are some conditions that a reconstructive ophthalmologist can treat:
1. Problems with tear ducts
One of the most common tear duct problems is tear duct blockage. Blockage can occur in the nose, eyelids, or the edges of the eyelids. This condition often occurs in infants or children, but sometimes adults can also experience it.
When the tear duct is blocked, a person may experience symptoms in the form of watery eyes, discomfort in the eye, or a lump in the tear duct. In certain cases, tear duct blockage can also occur with a tear duct infection.
2. Disorders of the eye
There are several eye disorders that can be treated by a reconstructive ophthalmologist, including:
- Injuries or injuries to the eye, such as broken bones around the eye socket and stab wounds to the eye
- eye cancer
- Eye deformities, such as eyes that go too deep into the eye socket (enophthalamos) and protruding eyes (exophthalmos)
3. Disorders of the eyelids and face
Some of the disorders of the eyelids and face that can be treated by a reconstructive ophthalmologist are:
- Ptosis or drooping eyelids and difficult to lift
- Dermatochalasis or excess skin on the eyelids
- Ectropion, which is a condition when the eyelids fold outwards
- Entropion, which is a condition when the eyelids fold into the eyeball and make the eyelashes hurt the eyeball
- Hemifacial spasm (HFS), twitching on one side of the face
- Meige syndrome, a rare disorder characterized by muscle contractions in the jaw, tongue, and eyes
Trichiasis is a condition when the eyelash growth position is abnormal or in the wrong direction. Trichiasis can cause eye irritation to blindness due to permanent damage to the cornea.
This condition often causes symptoms in the form of red and sore eyes, watery eyes, easy glare or sensitivity to light, and visual disturbances.
Endophthalmitis is a condition when the eyeball and the tissue around the eye become inflamed due to a severe infection. This infection can occur due to injury to the eye, such as a stab wound or the entry of a foreign object into the eye, as well as the spread of germs or fungi from other parts of the body, for example in sepsis.
This condition is a condition that needs to be treated by a doctor immediately.
Actions Performed by Reconstructive Ophthalmologists
Reconstructive ophthalmologists can provide consultations, diagnose diseases, and determine treatment for patients with eye disorders. The treatment can be done by giving drugs or by medical measures, such as surgery.
The following are some types of surgery that can be performed by a reconstructive ophthalmologist:
This action is done to correct the shape of the eyelids. Eyelid surgery or blepharoplasty is generally done by removing or improving the position of the skin and fatty tissue around the eyelids.
This operation is often performed to improve the patient's appearance, for example because the eyelids are not symmetrical or the eyelids look droopy.However, apart from cosmetic reasons, eyelid surgery can also be performed to treat disorders of the eyelids, such as ectropion and entropion.
eyebrow lift surgery
Brow lift surgery is one type of plastic surgery that can be performed by reconstructive ophthalmologists. This operation aims to lift and flatten the eyebrows and eliminate wrinkles or sagging on the forehead.
This repair procedure is carried out based on the main cause of ptosis. Ptosis itself is caused by abnormalities of the nerves or eye muscles that function to regulate the process of opening and closing the eyelids.
In treating ptosis, doctors can perform eye surgery to tighten the eye muscles or repair the nerves in the eye.
DCR aims to repair blocked tear ducts and make the patient's tears flow smoothly. This action is done by making an incision on the side of the nose or it can be done with an endoscope.
eye removal surgery
Eye removal surgery is generally performed to remove eye tissue that has been severely damaged and cannot be repaired, for example due to tumors or eye cancer and severe infections or serious injuries to the eye. Eye removal surgery can be performed using two techniques, namely evisceration and enucleation.
Eviseration is performed by removing the cornea and the inside of the eyeball, but retaining the white part of the eye (sclera). Meanwhile, enucleation is the removal of the entire eye, including the sclera.
After the patient's eye is removed, the doctor may perform a replacement or prosthetic eye to improve the patient's appearance. However, this prosthetic eye cannot restore the vision function that has been damaged.
In addition to surgery or surgery, reconstructive ophthalmologists can also perform other medical procedures such as giving Botox injections to the eyelid muscles and eyelash removal or epilation. This epilation can be done in cases of trichiasis.
When to Go to an Ophthalmologist for Reconstruction?
Patients will usually be referred to a reconstructive ophthalmologist by a general practitioner or an ophthalmologist. However, apart from a referral, patients can also consult directly with a reconstructive ophthalmologist if they experience the following symptoms or conditions:
- Pain in the eye
- eyes red and swollen
- eye shape is not symmetrical
- Sagging eyelids
- Difficulty opening your eyes or difficult to lift your eyelids
- Injuries to the eye, such as a stab wound to the eye or a broken bone around the eye socket
- Bumps appear in the eyes or around the eyes
- The eyelashes hurt the eyes, for example, because the eyelids are folded into the eyes
Preparing Before Visiting a Reconstructive Ophthalmologist
Before meeting a reconstructive ophthalmologist, you are advised to prepare the following things so that the doctor can more easily determine the right treatment:
- Make notes related to medical history and medical treatment that has been done, including drugs that have been prescribed
- To record the complaints you feel, how long the complaints have been going on, and what triggers factors
- Bring the results of previous medical examinations if any, for example a biopsy, blood test, ultrasound, or CT scan of the eye
If you find it difficult to choose a reconstructive ophthalmologist, you can ask for a recommendation or referral from a general practitioner or ophthalmologist. The doctor can refer you to a reconstructive ophthalmologist according to the diagnosis of your eye disease and its severity.