Core Expertise
Orbit, Oculoplasty, Oncology, and reconstructive surgery.
Lid Problems & Surgical Management
1. Involutional entropion and ectropion surgeries
2. Cicatricial entropion and ectropion repair post trauma, burns etc. with skin graft.
3.Ptosis surgery (Levator advancement, Posterior white line advancement surgery, MMCR, Frontalis flap, Frontalis sling, Frontalis plus levator advancement for congenital ptosis.)
4.Lid tear repair, Canalicular tear repair.
5.Lid reconstruction post tumor excision, Moh’s surgery and trauma.
6.Lid retraction repair using hard palate graft in cases of thyroid eye disease and facial palsy
7. Gold weight insertion in cases of facial palsy.
8. Congenital lid coloboma repair.
9. Distichiasis and trichiasis correction like;
Electro-epilation
Grey line split with epilation or cryotherapy
10.Epiblepharon repair
Cosmetic Lid Procedures
1.Upper lid corrective blepharoplasty, Direct brow lift, Sub-brow blepharoplasty.
2.Lower lid bags (transcutaneous and transconjunctival blepharoplasty)
3.Botox for Blepharospasms, Hemi-facial problems, forehead wrinkles, crow’s feet etc
Orbit and Socket Related Problems
1.Proptosis (Prominent eyes), surgeries like anterior orbitotomy, lateral orbitotomy for orbital lesions.
2.Thyroid eye disease. Medical and surgical management as per EUGOGO protocol. Surgeries like fat decompression, lateral wall, and medial wall decompression.
3.Paediatric and adult Orbital fracture repair using titanium implants and osteomesh following trauma.
4.Medical and surgical management of orbital cellulitis.
5. Placement of Prosthetic eye.
6. Paediatric and adult anophthalmic socket reconstruction using dermis fat graft, oral and buccal mucosal graft, hard palate graft etc.
7. Evisceration and Enucleation with PMMA implant for painful blind eye.
8.Lid sparing Exenteration in cases of Mucor and Orbital malignancies.
9.Inflammatory orbital diseases like Lacrimal gland swellings, lymphoma, optic nerve inflammation (optic neuritis), extra-ocular muscle swelling (Myositis) etc.
10.Traumatic optic nerve damage following trauma.
EPIPHORA OR WATERING FROM EYES
1.Continuous watering from eyes due to lid laxity, conjunctivochalasis, punctal stenosis, canalicular obstruction. Surgeries like trephination with stent, punctoplasty with stent, conjunctivochalasis repair and lid laxity repair like lateral tarsal strip.
2. Dry eye disease.
3.Meibomian Gland Dysfunction.
4.Congenital Nasolacrimal duct obstruction, syringing and probing under endoscopic guidance.
5.Acquired or adult Nasolacrimal duct obstruction. Surgeries like external DCR and Endoscopic DCR.
6.Diagnostic endoscopy
7.Injection Botox for watering not responding to other treatment modalities.
OCULAR SURFACE DISORDERS
1.Ocular surface lesions like OSSN, dermoid, naevus, papilloma, and others. Wide excision with AMG.
2.Steven Johnson syndrome, lid margin keratinization repair with buccal mucosal graft, entropion repair etc.
3.Pterygium surgery
Lid, ocular surface, Orbital tumors, Lacrimal gland tumors
1.Excision of lid tumors followed by reconstruction
2.Lateral Orbitotomy for orbital tumors and lacrimal gland tumors.
3.Excision of ocular surface tumors and reconstruction using no touch technique.
Excision of moles, cysts, warts, papilloma, and other Ocular and Oculofacial swellings.
Special interests: .
Cases of Steven Johnson syndrome, Chronic Facial palsy, Reconstructive surgery following trauma, tumor excision.
Collaborative surgeries with other sub-specialties like ENT, Neurosurgery, Head, and neck and OMFS surgeons for orbital fractures, endoscopic apical orbital decompression etc.
Collaborative treatment along with radiation oncologists for orbital apical lesions.