The Oculoplastic & Lacrimal Clinic

The Orbit, Plastic and Lacrimal (OPAL) Clinic

The Orbit, plastic and lacrimal clinic in Tilganga institute of Ophthalomology was launched in the beginning of 2004 as a new sub-specialty. Maintaining vision by protection of an eye ball and the proper function of the orbital adenexa, as well as cosmesis to functioning eye and orbit, is its main function.

The need of the OPAL service to patients with disfiguration of eye lids and orbit, vision threatening ocular condition and ocular and orbital tumors is increasing day by day. OPAL clinic aims to obtain satisfactory cosmesis, good function and adequate protection to the eyes of the patients. Orbital surgery at TIO is now becoming very busy and the number of patients being treated and operated has increased tremendously.

The clinic deals with various tumors of the eye and surrounding tissues. Watering eyes and droopy upper eyelid (ptosis) are common problems dealt by this clinic. The lids and orbital diseases are well managed by dedicated OT/ OPD team of the clinic. More than 500 surgeries are performed yearly in different pathology of the lids and orbit.

About oculoplastic surgery

Oculoplastic surgery is specialised plastic surgery around the eyelids and face. It is also called oculo-facial surgery as the eyelids are continuous with the forehead, cheeks, and deals with the related tear system (lacrimal) and orbits (deeper structures surrounding the eyeball).

Surgery is primarily for abnormalities of the eyelids and their surrounding tissues, including their position and contour, in order to maintain, restore or improve function and appearance.

The clinic also undertakes aesthetic treatments and surgery on normal eyelids and surrounding tissues to improve or change their perceived beauty, including blepharoplasty and Botulinum Toxin injection.

Treatments offered at the Tilganga OPAL Clinic

1. Plastic and reconstructive treatment

• Excision of periocular skin, conjunctiva and orbital tumors and reconstruction.
• Ptosis surgery ( Droopy Eyelids ).
• Eyelid entropion ( inward turning eyelids ) and ectropion ( Outward turning eyelids ) surgery.
• Enucleation and evisceration.
• Facial palsy rehabilitation surgery.
• Thyroid eye disease (graves’ ophthalmopathy) rehabilitation surgery.
• Lacrimal (watering eyes) surgery-Blocked tear duct.
• Orbital disease: loss of eye, orbital implants and ocular prosthesis care.
• Orbital disease: investigation and surgery for eye socket tumor-Orbitotomy.
• Reconstructive surgery following traumatic injury.

2. Cosmetic and Aesthetic
In addition to the above, the following cosmetic aesthetic treatments are available

Using cosmetic surgery and aesthetic techniques, the Clinic is able to offer treatments for various problems such as facial lines and wrinkles, and surgery for baggy eyelids and drooping eyebrows.

• Blepharoplasty-Upper and lower eye lid.
• Asian Blepharoplasty.
• Brow lift surgery.
• Botulinum toxin injections for essential and hemifacial spasm as well as for facial wrinkles.

BEFORE	AFTER

The Oculoplastic department also offers a short and long term hands on training programme in Oculoplasty for interested national and foreign ophthalmologists.

The fore coming services of the clinic are

1. Endoscopic surgery for tear duct obstruction (Dacryocystitis).
2. Ocular Prosthetic service

BEFORE	AFTER

BEFORE	AFTER

Faculty

Dr Rohit Saiju MD
Fellowship in Orbit and Oculoplasty
Royal Victorian Eye and Ear hospital
Melbourne University
Assistant Professor National Academy of Medical Science
E mail :rsaiju@tilganga.com.np

Sub-specialty Services

1. The Vitreo-Retinal Clinic
2. The Cornea Clinic
3. The Oculoplastic & Lacrimal Clinic
4. Glaucoma Clinic
5. The Pediatric Clinic
6. The Uvea Clinic
7. Extended Hospital Base Service