Types of Reconstructive Surgeries
Anopthalmos: Anopthalmia is the absence of the globe and ocular tissue, a condition that can be congenital or can occur later in life. Eye removal is sometimes necessary after trauma, infection, cancer, or in situations of serious pain. Anopthalmos can occur during Exenteration (removal of orbital eye contents), Evisceration (removal of eye contents), or Enucleation (removal of entire eye and sclera). Various types of ocular implants can be surgically placed to improve the appearance of those with Anopthalmia.
Dry Eye: Some patients suffer from a partial inability to produce natural tears. This can cause irritation, pain, and sometimes, damage to the cornea. Dry eyes are common and can be caused by many different factors. The most common remedies for dry eye involve artificial tears and/or a certain lifestyle adjustment.
Eyelid Laxity: Eyelid laxity can indicate premature ageing of the eyelid tissues, or it can be caused by blepharoclasis, hyperelasticity syndromes, or a post-inflammatory response. It can involve some very uncomfortable symptoms, including inverted or reverted eyelashes, irritation, excessive tearing, and discharge. Several surgical techniques can be employed to help correct these conditions.
Eye infections and Inflammations:
- Allergy: pollen, mold, pets, dust mites and other causes can cause Allergic conjunctivitis, a condition that results in irritates, swollen, itchy eyes.
- Cellulitis:Preseptal anf Orbital Cellulitis is a serious condition that should be evaluated promptly. The infection results in inflammation of the tissues anterior to the orbital septum.
- Corneal: pink eye, ulcers, and contagious ocular diseases can affect the cornea. Most cases are caused by external factors.
- Herpes Zoster:Herpes simplex can cause conjunctivitis.
- Lacrimal (Tear System) Infections: infections of the tear duct can cause pain and swelling in the eyelids.
- Molloscum Contagiosum: a virus that can result in small bumps around the eyelids.
- Orbital: Mucormyosis or Orbital cellulitis can affect the orbital tissues.
- Inflammation: It is crucial to diagnose the cause of inflammation promptly, especially when the condition is recurrent. Cases of idiopathic (spontaneously occurring) inflammation are commonly treated with corticosteroids, but other therapies may be necessary in certain cases. Conjunctivitis, Symblepharon, Blepharitis, Chalazion, Dermatitis, Rosacea, or tumors can all cause ocular inflammation.
Lacrimal System: Lacrimal system dysfunction may cause tearing problems such as an insufficient production of natural tears, or an excess production of tears. Tears are first produced by the lacrimal gland, and then enter a tear duct that drains into the nose.
The cause of tearing issues may be related to a problem with the nasolacrimal duct, the lacrimal gland, or even a problem on the superficial surface of the eye. Such issues can cause eye problems like blurred vision or they may hinder your ability to drive, read, work or even view a computer screen. A blocked tear duct can be very uncomfortable, and may lead to infection. Only a professional should address eye problems such as these.
Dr. Heffernan has cared for thousands of people with tearing problems over the last 20 years. By utilizing the most advanced equipment and consulting with experienced corneal and conjunctival specialists, he is capable of treating the most challenging tearing problems. Furthermore, our staff is trained and experienced in handling tear duct problems. Tear duct obstructions and tearing problems can be addressed with minor surgery in our facility.
Lagophthalmos: A condition characterized by incomplete/inadequate eyelid closure. Usually caused by paresis of a particular muscle, this condition leads to moisture problems and discomfort. Lagophthalmos can manifest during sleep (as nocturnal lagophthalmos) when the eyelids fail to fully close at night. Treatment is multifaceted and can include topical or oral agents, lifestyle changes, or minor surgical procedures of the eyelid.
Ptosis: characterized by drooping, or sagging, of the upper eyelid. This can negatively affect vision and cause discomfort. Surgical techniques can correct ptosis, and are often done in conjunction with blepharoplasty - the removal of excess skin around the eyes.
Trauma: Serious eye injuries are not uncommon in the United States, especially in young people. Traumatic experiences can occur during normal activities; car accidents, sports, on-the-job, explosives, and other events can result in damage to the eyes and surrounding tissue. Prompt attention from a surgeon is vitally important for restoring eye function and aesthetic appearance.
Graves Disease: Graves is a disease caused by a hyperactive thyroid gland. Graves' disease affects adults of either sex, but women most often. When it affects the eyes, it is referred to as Graves' opthalmopathy. Common eye symptoms include deformities, redness, swelling, sensitivity and blurred vision.
Treatment can be managed according to the severity and active symptoms of the disease. In active cases, this may involve immunosuppression or self-care techniques. When inactive, rehabilitative surgery methods can improve function and appearance.
Deformities like upper/lower eyelid refraction, abnormal protrusion or bulging, and orbital prolapse (slipping forward) can be treated with surgery; this may involve procedures like eyelid surgery, orbital decompression, canthoplasty, or conjunctivoplasty.
Thyroid: The thyroid is a small gland located beneath the Adam's apple, which controls the body's metabolism through hormone regulation. The gland can produce too little, or too much hormone, resulting in hypothyroidism or hyperthyroidism, respectively. These conditions are associated with several disorders of the eye.
Orbital Tumors: Due to the danger to vision and other risks, tumors in and around the eye should be diagnosed and treated promptly. Tumors within the eye can be divided into two common types: retinoblastoma, which occurs in children, and malignant melanoma, which occurs in adults. The former is recognizable by a yellowish-red pupil; the latter can result in detachment of the retina. Orbital tumors can take a variety of forms. Signs include protrusion of the eyeball, exophthalmus, and decreased motility.
Skin Tumors: Many different forms of lesions, cysts, and tumors can occur around the eye. Vasular lesions, such as hemangiomas, Benign or malignant lesions, inflammatory lesions, and other tumors can all grow on the eyelids or on skin surrounding the eyes. A biopsy is necessary when growths change size, thickness, texture, or if soreness persists. Service areas include: Seattle, Bellevue, Everett, Kirkland, Redmond, Lynnwood, Bellingham, Kent, Renton, Edmonds, Puyallup, Bothell, Mercer Island, Federal Way & Tacoma Washington.