Plastic and reconstructive eyelid surgery: |
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Eyelid surgery has been an important part of
the therapy and research taking place at the
Herzog Carl Theodor Eye Clinic for many years
now. The surgical correction of a wide range
of eyelid disorders has always been part of
the work of ophthalmological surgeons. Interventions
to correct faults in the upper and lower eyelid
and to remove eyelid tumours were developed
by doctors over 100 years ago and have been
continuously improved since.
Eyelid operations can be divided into medically
necessary interventions in the case of eyelid
diseases and interventions to improve aesthetic-cosmetic
aspects of the eyelid region.
Surgery on eyelid and tear duct disorders:
Eyelid defects: entropion, ectropion und facial
paralysis
A lower eyelid defect which occurs particularly
with increasing age is the entropion, where
the lower eyelid is turned inwards. As the eyelashes
then brush off the cornea, the eye is at risk
and surgery essential. The ectropion is the
opposite of the entropion, the edge of the eyelid
is lifted away from the eyeball, tilting outwards.
The eye is usually very watery. A special case
is where the lid becomes flaccid due to a paralysis
of the facial nerves. The surgery carried out
at the clinic corrects all of these problems
reliably and permanently.
Eyelid tumours
Whether benign or malignant, the aim of tumour
surgery is the complete removal of a tumour
while maintaining the function as well as the
aesthetic aspects of the eyelid. Over 90 % of
all malignant eyelid tumours are basaliomas.
Eyelid basaliomas are being diagnosed increasingly
over the last two to three decades. This is
due to the increased exposure to sunlight of
the post-war generation as well as a genetic
disposition in some people. The safest surgical
technique, and the one used at the Herzog Carl
Theodor Eye Clinic, is the two-phase operation,
in which the eyelid is only reconstructed after
the histologically controlled, complete removal
of the tumour.
Droopy eye: Ptosis
Ptosis refers to a condition where the upper
eyelid is hanging too low. The lid can no longer
be lifted sufficiently either for congenital
reasons or as a result of aging. The pupil is
partially or fully covered by the upper lid,
with the corresponding obstruction of visual
field and sight. The problem can be remedied
by folding or shortening the muscle which lifts
the eyelid or by other techniques.
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