Orbit and Oculoplasty

Introduction

Orbit, Oculoplasty, Ocular Oncology & Ocular Prosthetic Services, is a subspecialty of ophthalmology that handles anomalies of lids, lacrimal drainage system, extra ocular structures, bony orbit and other ocular adnexa. In the last 5 years, the clinic has seen over 3100 patients and performed over 620 surgeries.

The department has excellent support facilities, diagnostic equipment like Ultrasound A & B Scan, X-ray unit, CT scan, MRI (in collaboration), well established Ocular Microbiology, Pathology, Immunology and Genetic labs. Standard surgical theatre is provided with operating microscope, surgical lights, fiber optic light, bipolar and unipolar cautery unit, Ellman Radio frequency cutting- coagulating system, latest state of the art Navigation system  and endoscopic  surgery equipment with radiotherapy (in collaboration) and chemotherapy facilities.

Team

Dr. Harshit P. Shah (MS. OPTHAL)

Orbit

The Orbit Clinic receives a number of referrals encompassing both common and rare orbital
disorders, tumours and infections. These are managed both conservatively (medical
management/chemotherapy/ radiation) and surgically with tumour and the tissue being sent
for biopsy and histopathological correlation. A large number of patients with thyroid related
orbitopathy are also treated in collaboration with the general physician and endocrinologist
on a daily basis.

Lacrimal system and Orbit

Nasolacrimal duct obstructions both congenital and acquired are routinely treated, with
probing, balloon dacryoplasty, external/endonasal dacryocystorhinostomy and
Conjunctivodacryocystorhinostomy with Jones’ tube placement.  A number of patients with
orbital pathology including orbital trauma are seen in the clinic. Orbitotomy with mass
incisional/ excision biopsies and orbital floor fracture repair with implants (silicon, prolene
mesh and osteopore) are commonly done. Orbital and wound exploration for foreign body
and their removal are also expertly handled.

Oculoplasty

A number of patients are seen in the Oculoplasty clinic with a variety of eyelid disorders
including malpositions (Ptosis, Entropion, Ectropion), benign and malignant eyelid tumours,
facial dystonias etc. Congenital lid anomalies including lid coloboma, blepharophimosis,
epiblepharon and euryblepharon are also surgically corrected. Surgical corrections for
ptosis, entropion, ectropion, post traumatic lid tear / canalicular tear, eyelid reconstructions
post tumour removal as well as number of cosmetic eyelid surgeries (e.g. Blepharoplasty)
and injection of botulinum toxin (Botox) for facial dystonias and cosmetic indications are
being performed.