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Ophthalmology (Eye) Department


Common Conditions:

Aesthetic Eye-facial Treatment

Dry Eyes

Age-related Macular Degeneration

Floaters

Blepharitis / Meibomitis

Glaucoma

Cataract

Lazy Eyes

Common Eyelid Problems

Myopia

Diabetic Retinopathy

Squints

Home > Patients & Visitors > Diseases & Conditions > Oculoplastic & Facial Aesthetic > Diseases of the Eye Sockets

Diseases of the Eye Sockets


The orbits are bony structures in whch resides not only the eyeballs and other vital structures that enable the eye to see, feel, move and absorb impact. These include 6 muscles which move them in all directions, nerves responsible for sensation and movement (sensory and motor), fat that allows the eyeball and its muscles to freely slide and also absorb forces from impact and blood vessels. This wide variety of structures may result in disease of the orbit from bening or malignant tumors esp in old age, inflammation eg thyroid eye disease, injuries and rarely from congenital disorders.

Orbital trauma and fractures

Orbital trauma and fractures are the most commonly seen as may present as an isolated fracture commonly from road traffic accidents and assaults. These may be seen in adults and children and not infrequently associated with other facial, intracranial and systemic injuries. In children, a fracture may be sustained without other obvious external signs of injury and if not diagnosed and surgically treated as an emergency, permanent dysfunction of eye movements may occur. Newer concepts in the management of fractures is to repair them through scarless minimally invasive approaches, use of absorbable implants which short hospital stay and early rehabilitation. Your orbital surgeon may work in collaboration with the Facial Plastic team or Neurosurgical team for total management and optimal care.

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Thyroid Eye Disease

Thyroid eye disease is a common condition that is seen in all races esp seen in middle and old age. It is the most common cause o prominent, wide-eyed staring appearance but when severe may lead to inability to close the eyes at sleep, cause such severe protrusion of the eyeball that causes a ‘bug-eyed’ appearance, constant pressure and pain sensation and may choke the optic nerve and even cause blindness. In addition to visual loss the resultant disfiguration may psychologically and socially affect the patient.

In the early active phases of the disease which usually lasts 1-2 years, conservative management may alleviate most symptoms although appearance remains the same. When vision is threatened steroid or immunosuppressant therapy may be considered. For residual deformities various forms of eyelid, eye muscle and orbital surgery usually help restore a more normal appearance.The Thyroid Eye Clinic at NUH brings together the Orbital Surgeon, the Neuroophthalmologist and the Thyroid specialist to help evaluate the patient and optimize medical treatment before surgical rehabilitation restores patient to a comfortable pre-morbid normal self

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Tumors of the eye socket (Orbital tumors)

Tumors of the eye socket (Orbital tumors) are relatively uncommon in the general population although frequently it may represent a manifestation of systemic disease. These tumors may be either benign or malignant and may be vision and not infrequently life-threatening as well. An appropriate evaluation, early diagnosis and proper management in the form of surgery or other modalities ensures optimal visual outcome and also help lead a normal life.

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Anophthalmic Sockets


Loss of an eye is a visually and psychologically devastating often resulting from surgical removal following irreparable injury, disfiguration, painful blind eye and rarely from cancers of the eye (eg. Melanoma, retinoblastoma). Although visual restoration in such situation is not possible an orbital implant placement ( socket surgery) followed by artificial eye fitting ( ocular prosthesis) often restores a normal appearance thereby helping the patient to resume a normal social and psychological profile. An ocularist often helps in fitting with a customized eye prosthesis and offers tips on maintenance of the eye socket and prosthesis.



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