Ophthalmic Plastic Surgery

Do you have an "eye" for beauty? Those trained in oculoplastics blend ophthalmology and plastic surgery in the treatment of the orbit, lid, nasolacrimal system, brow, and upper face. Oculoplastic surgeons remove the eye in cases of extensive trauma, intractable and severe eye pain, and destruction secondary to neoplastic or inflammatory processes. They reconstruct the orbit, lids, and upper face in cases of tumor, trauma, or other local processes, and perform cosmetic surgeries such as orbital wall decompression. They are also trained in the use of radiation and chemotherapy. Optic nerve fenestration, one of the more interesting procedures, helps young patients suffering from pseudotumor cerebri, a condition in which elevated intracranial pressure (for unclear reasons) causes vision loss. In this fascinating procedure, the oculoplastic surgeon dissects back to the optic nerve, rotates the eye laterally, and, rapidly enough so as to avoid damage due to the lack of blood flow caused by extreme rotation of the eye, cuts a window on the sheath of the optic nerve to alleviate pressure.

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