Ophthalmoplasty
Glaucoma
Ophthalmoplasty is one of the departments of plastic surgery aimed at restoring the anatomical and functional defects of the organ of vision and its lower apparatus. According to modern concepts, the term "plastic" summarizes the name of surgical methods by restoring the shape and function of individual parts of the body, organs or anatomical structures, transplanting, implanting replacement materials.
Currently, it is almost impossible to maintain the border between plastic and cosmetic surgery of the eye, because they complement each other, because the normal function of the anatomical part of the visual organ corresponds to a certain form.
The use of laser and radio wave equipment in ophthalmology and ophthalmoplasty, in particular, allows to operate without cutting the knife, has an excellent cosmetic effect, reduces the risk of additional injury to the outer coverings, and sharply reduces the period of postoperative rehabilitation of patients.
Rapid bloodless removal of structures on the skin of the eyelids in the okologlaznichnoy region with a good cosmetic effect can be obtained when using radio wave and laser devices, as well as cryodestruction and electrosurgical excision.
Modern anesthesia, equipment with the latest equipment, drugs from the best companies significantly increase the quality of operations and shorten the period of postoperative rehabilitation of patients.
Technology
It should be noted that most plastic surgeons are engaged in ophthalmoplasty. In our opinion, such special operations should be performed in a specialized eye clinic with highly qualified certified specialists in this field and unique microsurgical equipment. All this has the St. Petersburg branch of MHTK "eye microsurgery". transition: navigation on the site, search SN Fedorov, in which rich clinical and surgical experience has been accumulated over many years of practice, and diagnostic and surgical equipment is constantly updated.
RECONSTRUCTIVE AND PLASTIC SURGERY OF EYELIDS
1. Operations after injuries
In our clinic, various reconstructive operations are performed with mechanical injuries, burns, the consequences of combined injuries, damage to the orbit, accessory apparatus, lacrimal ducts, traumatic ptosis of the upper and lower eyelids, traumatic deformations of the eyelids and orbit..
2. Surgery for wrinkles and stratification of eyelids of various origins Eyelid fold (Entropion) changes the position of the eyelids, in which the rib edge is rolled inward, the eyelashes touch the surface of the eye and damage it. Often there is a fold of the lower eyelids.
The method of surgical treatment of the eyelid is selected by the surgeon depending on the mechanism and degree of intropion or ectropion. In addition to the cosmetic defect, it should be remembered that the opening or twisting of the eyelid can cause secondary changes in the cornea, eyelids, and mucous membrane. In some cases, acute inflammation of the cornea (keratitis) can occur as a result of a corneal ulcer, often with the risk of its perforation. Therefore, timely consultation with a doctor and correctly recommended treatment is the best prevention of serious complications.
3. Operations to eliminate lagophthalmos
Lagophthalmos is an ophthalmic disease associated with complete closure of the eye (the eyelids do not close, so inflammation of the cornea is common), paralysis of the facial nerve, congenital pathology of the eyelids, their scarring, various as a result of tumors and surgical interventions to remove them.
4. Aesthetic Blepharoplasty
With age, most people under the influence of gravity eyebrows, okologlaznichnyh tissues fall and okologlaznichnye "fat hernia" appears. At the same time, the eyeball in the orbit moves inward and inward, and fatty tissue moves to the front of the orbit, forming "bags" in the lower eyelids..
Different surgical techniques are performed in different situations and different amounts of surgery are prescribed. Excess skin, fatty tissue, round muscles of the eye can be removed. In addition, operations are performed on both the upper and lower eyelids, and often on both eyelids. It is very important that the patient understands the purpose of seeing the doctor, but only as a result of communication with the doctor, the correct tactics of cosmetic surgery can be developed. The doctor must determine whether the operation is correctable and whether it is correctable or not.
5. Surgical anophthalmos and plastic surgery for the preparation of eye prosthesis
In some cases, it is necessary to remove the eye. This operation is carried out according to strict guidelines, and the decision to carry it out is made by the medical board..
Often, either enucleation, i.e. removal of the entire eyeball, or evisceration that preserves the scleral-muscular ring of the eyeball. The last operation, due to the preservation of the outer shell of the eye and the oculomotor muscles, it is possible to achieve the smallest cometic defect with the subsequent prostheses of the eye, which ensures the maximum mobility of the supporting worship. The choice of a specific operation is determined by the presence or absence of indications and contraindications. In our clinic, most of the operations to remove the eyeball are accompanied by an implant cover to fill the lost volume in the orbit, which serves to improve the cosmetic effect of the operation.
