Frequently Asked Questions

When should surgical treatment of droopy valve be performed?

There is no specific age limit for this surgery. The reason for the operation is the most important issue in terms of timing. Treatment of congenital droopy eyelid covering the colored part of the unilateral eye should be done immediately, regardless of the age of the patient. Because this is a cause of lazy eye and functional blindness for the eye with droopy eyelids, and urgent surgical treatment is required. In congenital droopy eyelids that do not cover the pupil, it should be corrected when the child becomes aware of this picture after an oculoplastic surgeon determines that there is no risk of amblyopia. Today, children at the age of 3-4 do not hesitate to identify the differences between them and tell them to each other. This causes social psychological problems and introversion in children with droopy eyelids. For this reason, it is appropriate to apply surgery to these children at the age of 4 on average. In the adult period, droopy eyelids pose a more cosmetic problem. Colleagues, especially in young working adults, warn patients by expressing the “sleepy” appearance that occurs due to drooping valves. In addition, the droopy eyelid covering the pupil can cause functional vision loss by causing narrowing in the unilateral or bilateral visual field, and loss of 3-dimensional vision. Surgery performed for these reasons can correct the patient’s cosmetic and functional complaints.

I am afraid of local anesthesia, can I have surgery under general anesthesia?

General anesthesia is mandatory in childhood. However, my preference in adulthood is local anesthesia. Because we can both protect the body from the problems related to systemic anesthesia by giving unnecessary drugs to the body, and because we only keep the eye conscious by numbing the eye, we have the opportunity to put the patient in a sitting position on the operating table and adjust the lid level and symmetry with the other eye in the best possible way.

How many days will I stay behind from my job for this surgery, will there be any scars on my eyes?

In most cases, control is required on the 1st and 5th days after surgery. In lid surgery, there is a rapid recovery because incisions made from the eyelid fold, which is already a natural scar, inside or outside the eye, are used so that there is no scar. Stitches 7-10 days according to the wound healing of the person. It is taken daily. The patient often returns to work within 15 days.

Is Botox the definitive treatment for blepharospasm?

In most cases of blepharopasm, hemifacial spasm, the cause cannot be found (essential). For this reason, treatment is applied for the clinical finding, that is, the result of the disease, not the cause. Botox used in this disease is a neurotoxin that inhibits muscle contraction. When applied in appropriate conditions and doses, there is no harm to the body and eyes. Botox treatment is repeated in 3-4 monthly periods. This is because the drug is excreted from the body and its effectiveness is lost during this time.

Is there a chance to be treated with surgery?

Surgical treatment is an alternative treatment for patients who do not respond adequately to Botox treatment. In this surgery, the involuntarily twitching eyelid muscles are surgically removed and the contractions are stopped, instead of paralyzed by Botox.

Does this disease cause blindness?

No. There is no relationship between this disease and the ways of seeing, but when patients cannot open their eyes, they are faced with the picture of “functional blindness”.

How is inward or outward rotation surgery performed on the lid?

Valve surgery is usually performed under local anesthesia. Congenital valve deformities require general anesthesia in children. Procedures that correct the valve anatomy are frequently applied. Samples taken from places that imitate lid skin such as behind the ear or arm, or from tissues that imitate eye membranes such as oral mucosa and amniotic membrane can be used in surgery in cases related to tissue deficiencies.

How long does the surgical procedure take and when can I return to work?

The process takes 1-3 hours depending on the severity of the table. Cases can usually start work within 15 days.

Can recurrence of the picture be seen after this surgery?

Correction of the picture requires a complex surgical procedure to correct various steps. If these steps are not performed with appropriate surgery, the table may recur. For this reason, it is a procedure that should be performed by experienced oculoplastic surgeons working on this subject.

Is facial paralysis temporary?

The cause of facial paralysis determines the process of this picture. Facial paralysis due to a treatable cause may be temporary. Diabetes, vaccination, sarcoidosis, upper respiratory tract infections, Herpes virus, otitis media, cancers, trauma, vascular anomalies are among the causes of facial paralysis. Treatment protocols applied with these tables can improve facial paralysis.

How does gold weight work in facial paralysis, will it harm my eyes, is there an alternative surgery?

Since the upper eyelid cannot be closed in facial paralysis, the lid is closed with the effect of gravity and gold weight. Therefore, cosmetic problems may occur. The alternative to the gold implant is titanium implants. Since this material is a heavier metal, it provides a more effective cover correction with a thinner material, but is more expensive. There is no harm in the conditions where the implants are properly applied to the eye and used as pure metal. Alternative surgery that will restore valve functions without using an implant is surgery for the muscles that lift the valve and BOTOX applications. These methods are selected by the oculoplastic surgeon in line with the clinical findings of the person.

Eyebrow drooping, facial drooping occurred in facial paralysis, is there a cure?

Among the classical findings of facial palsy, drooping of the eyebrows and drooping of the face up to the lips with the lower eyelid are typical. There is no drug treatment for these findings. Eyebrow drooping and facial sagging can cause serious cosmetic and visual problems. Various surgical treatments are applied for this purpose. Dramatic results are obtained with eyelid lift surgeries along with brow lift and face lift surgeries. These are methods that require advanced techniques in oculoplastic surgery since a surgical procedure is performed in the opposite direction of gravity.

Are these implants harmful to my body?

The implants used are products that have been proven to be compatible with the body after years of research and have been approved for human use by many health institutions. All of the products used are used in single-use, ready-made sterile packages for the patient. Therefore, these implants do not cause any harm to the body.

Is it necessary to remove the implants later?

In most cases, the implants remain safely in place for life and continue functional support. Implants with porous structures such as MEDPOR and Hydroxyapatite are often adopted by the body, vascularized by the body and become a part of the body. In rare cases, if the paralysis can be completely resolved, the implants can be removed with a surgical application.

Do we absolutely have to use these implants?

Lid surgery with implants is often performed in cases of severe trauma and paralysis. In oculoplastic surgery, although the aim is to reconstruct using the person’s own tissues, these implants, which are used when necessary, significantly increase the surgical success.

There is a lesion in the ciliated area on my lid, will my lashes fall out when this is removed?

If the tumor is benign, it is possible to remove it from the eyelashes with special surgical tips without touching the eyelashes. However, if the tumor is malignant, the intact ciliated lid margin is also removed to prevent recurrence. During the repair, the ciliated edge is created with appropriate cosmetic techniques and lash loss is not noticed.

How does the size of the tumor affect the surgical treatment?

As in all types of cancer, the smaller the tumor is treated, the less successful the treatment, the amount of tissue to be sacrificed during treatment, and the need for additional treatment after surgery. It should not be forgotten that loss of vision up to the removal of the eye after the spread of lid tumors to the eye and orbital cavity, or loss of life as a result of the tumor spreading to the internal organs is still quite common in Turkey. Therefore, early diagnosis and treatment are important in tumor treatment.

Is there a non-surgical treatment for valve tumors?

When lid tumors are caught in the early period, freezing (cryo), radiation therapy or treatment with some special creams may be considered. However, these treatment options should be performed in accordance with the recommendations of the oculoplasty surgeon in limited cases.

After a previous eyelid trauma, my eyes stay open at night. Is there a cure for this?

The upper eyelid has the task of opening and closing. This condition can be observed after trauma to the muscles that open and close the valve, loss of valve tissue or improper correction and improper wound healing. Valve surgery is often required for this condition. In some mild cases, artificial tear drops and gels may be sufficient. During surgery, the location and deformation methods of their own valve structures can be used, as well as tissues taken from other places such as skin, hard palate, oral mucosa, ear cartilage can be used during surgery.

I had surgery on my eyelid after trauma before. My eyes are constantly watering right now. What could be the reason for this?

There are two main causes of eye watering. The first is that the production of tears is excessive, the second is that the tear outlets are closed. In the repair performed after eyelid trauma, watering may occur due to increased tear production due to reasons such as the turning of the eyelash edge to the eye surface, which will cause stinging, and the presence of stitches on the lid. However, tear drainage problems may occur as a result of non-repair or improper repair of tear ducts, which are more frequently damaged simultaneously during eyelid trauma. In this case, it is necessary to remove structures such as eyelashes and sutures that disturb the eye surface and cause excessive eye formation, or to apply surgical treatment due to obstruction of the tear ducts.

I lost my eye with the lid trauma. Can removable eye prosthesis surgery be combined with lid repair?

Serious eye traumas leading to permanent vision loss can be observed with lid trauma. In such cases, both the lid and the appearance of the eye can cause social problems cosmetically. In this case, simultaneous repair of the lid and eye socket can be surgically corrected. At this stage, mobile eye prosthesis surgery can be performed according to the condition of the existing eye tissues.

I had redness and swelling on my eyelid. The redness has subsided, but I still have some swelling on my hand.

This described picture is a chalazion picture that develops after a typical valve infection. Most of the cases used many drugs and had massage therapy for a long time. If this picture cannot be regressed with these treatments, the definitive treatment solution is surgery. In this surgery, which is performed under local anesthesia, the person can return to work the next day and does not experience any loss in his social life.

There is itching, dandruff and loss of eyelashes at the bottom of the eyelashes. Will my lashes grow back?

The most common complaints in infections of the ciliated edge of the lid are itching, dandruff and shedding of eyelashes. The bacteria involved here initiate the inflammatory process at the bottom of the eyelashes, and these symptoms are followed at the end. If there is no other dermatological disorder under the eyelash loss, these findings often improve with treatment and our eyelashes reach their old healthy appearance.

Do eyelid infections cause vision loss?

In the early period, eyelid infections begin limited to the anatomical areas of the eyelid, and there is no problem of vision loss with the treatment performed in this early period. However, if the picture is neglected, if there is contact lens use in the history, if there is vision loss in previous similar pictures, various degrees of vision loss may be observed in these cases due to the involvement of the cornea or eyeball.

My eyelashes are stinging towards my eyes, I pulled them with tweezers a few times, but they started to sting again and my eyelashes started to grow. What should I do.

Pulling eyelashes with tweezers is the most common mistake made by the public. This application will not prevent the eyelashes from coming out, but on the contrary, it will cause them to grow stronger. Therefore, it also reduces the success of future surgeries. In order to correct this picture, the most appropriate treatment type should be selected by examining many parameters such as the number of ingrown eyelashes, their placement (lower lid or upper lid), the condition of the eye surface, the general health status of the patient.

I had surgery on my eyelashes before, but my eyelashes have grown longer and are stinging. What should I do?

Eyelashes are a very durable tissue originating from the hair follicle. Like other hair follicles in the body, after applications such as laser, radiofrequency, and freezing, hair growth may occur again, but there is usually a weaker growth, and a definite result is obtained in 2-3 sessions most of the time. Surgical procedures, on the other hand, give more permanent results, but they are interventions that require more experience and time compared to other applications. Your doctor explains which application will be more suitable for which patient, the pros and cons of each application, and the appropriate treatment is shaped.

Along with my lashes, my lids also turn inwards. Are my lashes or lids sick?

In such cases, it is necessary to evaluate the patient very well. Because interventions for eyelashes alone cause undesirable results in this different patient group. In this table, surgeries to turn the lids out again should be the main target.

Does lacrimal sac inflammation recur after root canal surgery?

If the surgery due to lacrimal duct obstruction is done properly and the surgery is successful, it will not be repeated. However, recurrence is common as a result of unsuccessful root canal surgeries.

Will watery eyes affect my vision negatively?

The sense of sight begins with the perception of light stimuli by the retina. For this, healthy visual stimulus must reach the retina in a healthy way from the intraocular structures to the retina. The light beam that comes into the eye first falls on the tear layer of the eye. Therefore, the presence of more or less tears on the surface of the eye prevents the proper refraction of light and causes vision loss.

From time to time, there is excessive watering in my eyes, but this is not always seen. Is it due to infection or tear duct obstruction?

The eye surface of the person adjusts the tear production in line with the humidity or dryness of the environment so that it adapts to environmental factors. Sudden dryness on the surface of the eye causes sudden tearing as a reflex. For example, in extremely cold or windy weather, the eyes of people become watery due to the increase in the reflex secretion of tears. In addition to this, foreign objects coming into the eye, for example, in dusty weather, the tears increase and try to clean the eye surface. The most important feature of these tables is that they are temporary. It is not important except for the continuous tables.

How is the treatment of watery eyes?

There are various causes of eye watering. With the examination, it is revealed whether the watering is due to excess tear production or the excretion disorder of normally produced tears. After that, the treatment scheme as medication or surgery is followed. You can refer to other sub-headings for the causes of eye watering.

Even though I have done massage therapy before, my baby continues to water. What should I do?

Treatment of lacrimal duct obstruction with massage is usually effective in the first year. Children who do not respond to treatment at this time either have an anatomical obstruction that will require more serious oculoplastic surgery or massage therapy is not applied appropriately. As a result of the proper application of the massage technique, watering disappears in approximately 90% of these cases. In the remaining cases, probing, which is the next treatment step, is required. Although probing requires a short procedure, it is a serious application that requires experience to be done properly and can cause irreversible damage to all tear ducts if done improperly. For this reason, it is appropriate to be applied by an oculoplastic surgeon.

Irrigation continues even though probing has been done twice before. What do I need to do?

In the treatment of congenital lacrimal duct obstruction that does not improve with probing, it is necessary to insert a silicone tube into the lacrimal ducts. This surgical procedure is an intranasal procedure performed endoscopically with high resolution cameras. With the development of intranasal imaging methods, the entire tear duct is repaired with a thin tube transmitted through all tear ducts from this surgical intervention performed by oculoplastic surgeons. The tube remains in the eye for about 3 months and is withdrawn without the need for anesthesia in outpatient clinic conditions. All procedures are performed with a seamless operation on the nose, no scars are created on the face.

Although various treatments have been done before, my child’s eye continues to water. How can the problem be solved?

Rarely, the level of duct obstruction is severe and the previously described treatment steps are insufficient. In such cases, the child’s own tear duct is abandoned and an alternative way is opened so that the tears can reach the nose. This procedure can be done with nasal endoscopes, or it can be done with an external skin incision in cases such as trauma and congenital upper lacrimal duct obstruction.

How many days will I be back from work in tear duct obstruction surgery?

The recovery process after surgery varies according to the type of surgery. This period is an average of 7-10 days for external skin incision and sutured surgery. This period is approximately 2-3 days in the surgery performed through the nose with the endoscopic method. However, it is recommended to rest for 1 week in all kinds of surgery, unless it is mandatory.

How is the anesthesia of the lacrimal sac surgery?

Tear sac surgery can be performed under local or general anesthesia. Both anesthesia methods have their own advantages and disadvantages. The advantage of local anesthesia is that it can be operated without drug administration to other organs due to eye disease, and there is no awakening time caused by anesthesia. In addition, some sensitive patients may be uncomfortable with the feeling of being awake during the surgery. The advantage of general anesthesia is that patients do not experience any surgical process as they sleep during the operation. On the other hand, they experience the awakening process due to anesthesia.

How do my other existing ailments, diabetes, blood pressure, heart disease affect lacrimal sac surgery?

Keeping existing diseases under control is important for the success of the surgery and general anesthesia to be used in the surgery. Regular use of drugs is necessary. The use of blood thinners such as aspirin and Kumadin is inconvenient as it will increase the amount of bleeding during surgery. For this reason, such drugs should be discontinued at least 10 days before the surgery in accordance with the doctor’s recommendations.

Does lacrimal sac inflammation always occur in lacrimal duct obstruction?

No. However, this risk is always present, but its time and form cannot be predicted. The success of the lacrimal sac surgery is negatively affected by the inflammatory attacks that develop in the lacrimal sac. Therefore, performing this surgery without any inflammation is necessary for better surgical results. With eye drop treatments, tear duct obstruction does not improve, this unnecessarily prolongs the treatment process and adversely affects the treatment conditions.

When is lacrimal duct obstruction surgery performed if there is inflammation of the sac?

Under ideal conditions, it is appropriate to perform this surgery after the inflammation of the pouch has passed. However, in some conditions, this inflammatory picture cannot be regressed and it may be necessary to undergo surgery under these conditions. It is advantageous to prefer endoscopic intervention for this surgery.

How do we know that the tear duct duct is cut after the lid incision?

Patients cannot understand this incision. However, the closer the lid incision is towards the nose, the higher the risk. It is a finding that the oculoplastic surgeon will reveal during the examination.

The lid incision was repaired in the hospital, but the tear duct was not repaired. Now my eyes are constantly watering. What should I do?

There are various reasons for eye watering after lid incision repair. These are the result of the contact of the suture materials used during the lid incision repair in the early period to the eye. If the suture material (sutures) is unsuitable, there is a risk of eye infection and the sutures must be removed. In addition, during valve incision repair, valve deformity may have developed and the lid may have turned inward or outward. These deformities can also cause eye watering. In addition, the canaliculi (tear ducts) have been cut and its repair may have been overlooked during the lid incision repair. If there is watering due to this, permanent tubing may be required.

Is it absolutely necessary to insert a tube in the tear duct incision?

Yes. The tube is definitely inserted and removed after 3-6 months.

What is the success of intranasal surgery?

The success of this surgical technique is over 95%. However, it should not be forgotten that a good eye, tear ducts and nose examination are the basis of the high success of this surgery. First of all, the appropriate anatomical and pathological findings for this surgery should be examined by the ophthalmologist and the success of the technique should be evaluated.

Does endoscopic tear duct obstruction leave any traces on the face?

No. Since no skin incision is made in this technique, stitches are not used. Therefore, there is no trace on your face. For this reason, female patients and people who should not leave permanent marks on their faces due to their job (eg policemen, artists, etc.) prefer this technique.

How many days will I be away from work and power due to endoscopic tear duct treatment?

Usually, the patient starts work after 5 days. However, there are also patients who start work the day after the surgery, as it is mandatory. However, an average of 5-7 days of rest is recommended after this surgery.

What affects the success of laser tear duct occlusion treatment, can every patient with lacrimal duct occlusion have this surgery?

Success in laser lacrimal duct occlusion surgery should first be evaluated as a result of detailed tear ducts and nasal examination. There is no rule that every patient will have laser tear duct surgery. Even wrong surgeries on unsuitable eyes can lead to serious eye problems, including vision loss. For this reason, the evaluation of an experienced oculoplastic surgeon is important.

How is laser tear duct occlusion surgery performed, does it leave a scar?

This surgery is performed using diode laser energy through tips about half a millimeter thick. Here, laser is applied to the clogged area by entering through the tear ducts. Since no incisions and stitches are used on the skin, there is no scar.

I have had laser tear duct occlusion surgery before. My eyes continue to water. What should I do?

Irrigation after surgery may be in the early stage. During this period, use the drugs recommended by your doctor. If irrigation continues in the late period, detailed examination of the tear ducts is required.

I had a dislocation in my eye, my doctor took a film (orbitatomography/MR) and it turned out that there was a mass behind my eye. What should I do?

First of all, it is necessary to understand whether this mass is a benign or malignant type of cancer. In this distinction, a decision is often made with clinical experience and the findings in the film. However, the definitive diagnosis is made by taking a sample (biopsy) from this tumor. This is done in the operating room under biopsilocal or general anesthesia. During this biopsy, either all or part of the tumor is removed. This biopsy specimen is examined pathologically. If the tumor is benign and completely removed during the procedure, there is no additional problem. The patient is followed up with routine follow-ups. If it is malignant, radiation therapy and/or chemotherapy, or additional surgical procedures may be required depending on the type of tumor.

What are the risks of orbital tumor surgery?

Orbital surgery is one of the most difficult operations of eye diseases. Performing surgery in a narrow area behind a seeing eye is an undertaking that requires great care and patience associated with the degree of difficulty. These surgeries are often performed under general anesthesia. Therefore, patients do not have serious pain during the surgery, but pain and swelling can be observed in the first 2-3 days after the surgery. Orbital surgery has a theoretical risk of bleeding, infection, double vision and vision loss. However, these risks must be taken into account in the presence of tumors. These risks have been minimized by the practice of experienced oculoplastic surgeons. Post-operative care and good management of current findings are as important as surgery. Postoperative medications and care reduce the risks in this process.

Will there be recurrence after orbital tumor surgery?

Whether the tumor is benign or malignant, removal of the tumor completely or partially, treatment of additional work after surgery or chemotherapy are the determining factors in the possibility of recurrence. Ideally, it is desirable to completely remove the tumor in one piece. However, in some cases, this may not be possible to protect the eye and optic nerve. The extent of the surgical margin will be explained to you by your doctor during the pre-operative examination and you will be informed about the possible results. At this stage, the earlier the application is made, the more satisfactory the result. Early diagnosis and treatment saves life and vision in most cases.

I have redness and pain in my eye. Could it be an orbital infection?

Orbital infections should not be confused with eye infections. The white membrane (conjunctiva) on the surface of the eye is often examined under simple eye infections and is defined as conjunctivitis. These are partly simpler infections (See conjunctival infections). Orbital infection is a more serious infection of the orbital socket at the back of the eye that can result in loss of vision or even death. Its findings include red eye, but it is characterized by pain, diplopia, eyelid edema, and anterior protrusion of the eye. Detailed eye examination is required to distinguish this picture.

Is cortisone therapy required in the treatment of orbital inflammation?

Intravenous high-dose cortisone can be used for the treatment of orbital inflammation that is not due to infection. For this, after a detailed systemic examination and eye examination, the presence of a condition that prevents treatment is examined. Cortisone treatment may not be given in diseases such as liver disorders, uncontrolled diabetes, stomach ulcers, and severe osteoporosis. The effects and side effects of this treatment should be evaluated by an experienced oculoplastic surgeon.

My child had a lid rash. I thought it developed because of the flu. Now his lids are more swollen and he has pain in his eye. Could it be an orbital infection?

Infection of the upper respiratory tract in children can affect the eyelids and the orbit via the sinuses. In children, the conversion from valvular inflammation to orbital infection develops much faster than in adults. For this reason, these children are followed closely, sometimes it may be necessary to keep them in the hospital under observation and to give antibiotic treatment. For this reason, it is necessary to follow your eye doctor’s instructions first.

When an orbital fracture develops, does surgery always need to be done?

Indications for surgery are collapse, double vision, and the large size of the fracture area to cause cosmetic deterioration in the eye. Evaluation of this is done after clinical and radiological tests performed by the ophthalmologist who deals with oculoplastic surgery.

When is orbital fracture surgery performed? Is emergency intervention necessary?

Orbital fracture is a condition that needs urgent evaluation. The reason for this is that the uncontrolled healing of the fracture in the presence of fracture aggravates the picture. Therefore, the patient should be rapidly evaluated by oculoplastic surgery and an advanced treatment plan should be made.

How are orbital fractures repaired?

Orbital fracture surgery is often performed under general anesthesia. In these surgeries, oculoplastic surgeons make incisions inside the eye to minimize scarring. In this way, since there is no skin incision, no stitches are used and no scars are left. If the fracture line is wide, the skin and intraocular incisions are combined. For this reason, the skin incision is hidden in the skin folds, and surgeries are performed without leaving any traces. The fracture line is repaired with silicone, bone or synthetic implants. These implants are not then removed.

I have thyroid-related eye dislocation in my eyes. Is it possible to restore my eyes?

Thyroid-related findings in your eyes may include eyelid opening, eye dislocation, double vision, and decreased vision. Each of these is a table holding different textures in the eye, which should be dealt with individually. For example, the opening of the eyelid suggests eyelid involvement, the protrusion of the eye suggests orbital edema, and double vision suggests thickening of the muscles that move the eye. It is possible to correct these in steps with medication or surgery. However, there is an order and a time for this. A single treatment should not be expected to correct all findings. First of all, an experienced oculoplastic surgeon should decide which tissues are affected by the findings and start treatment accordingly.

Goiter-related dislocation developed in my eyes, my doctor recommended cortisone treatment. What path should I follow?

Cortisone treatment will not fix the protrusion in your eyes. Cortisone therapy is used to regress eyelid orbital edema in early ocular findings. However, it has been shown that cortisone treatment does not improve the dislocation of the eye. Orbitadecompression surgery is required in the treatment of this.

How many days does orbitadecompression surgery take away from my work?

Decompression surgery is one of the most difficult operations on the eye, which takes a long time. For this reason, the eyes are not operated at the same time in order to avoid both the physician’s fatigue and the patient’s long-term anesthesia. However, there is a very serious loss of vision in both eyes and if there is no time to wait for this, the conditions will be medically difficult. Apart from this, it is appropriate to operate the eyes with an interval of 3-4 days. For this reason, approximately 1 week of hospitalization is foreseen. If it is planned that the swelling and stitches in the eye will be removed after 15 days, the patient will rest at home for approximately 20-25 days.

Is valve surgery a difficult operation for the patient like orbitadecompression?

No. This technique also has its own subtleties. Here, too, the goal is to provide a symmetrical lid appearance in both eyes as much as possible. It is a little more difficult to achieve this in unilateral involvement. However, in the end, this surgery is a day surgery performed under local anesthesia. About 1 week off work is sufficient.

If valve surgery is more practical for me, would it be okay if I had valve surgery first instead of decompression?

Lid surgery does not correct the dislocation of the eye in a patient with a dislocation of the eye. In addition, as a rule, orbital surgery should be performed first in patients who require decompression. Because with decompression surgery, when the eye is pulled inward, the lid level also changes and this affects the surgery.

Wouldn’t it be better if I had my valve surgery done under general anesthesia?

Valve surgeries under general anesthesia are performed only in cases of necessity. These are pediatric patients, mentally incompetent, or patients with phobias. We do not want to administer drugs to other organs of the body with anesthetic agents during valve surgery. In addition, since we are conscious during the operation with local anesthesia, we can examine the valve positions by looking up and down during the operation, and in this way, we can ensure the symmetry of the valve position with the other valve.

Strabismus clears up when I close one eye. So the slippage is in one eye, but my doctor says I need to have surgery on both eyes. What should I do?

Thyroid-related strabismus often affects both eyes. The number of eyes to be intervened in strabismus surgery is related to the degree of deviation. Smaller deviations can be corrected with a single eye intervention, while larger deviations may require intervention in both eyes.

I had a dislocation in my eye due to thyroid. I had decompression surgery. Later, double vision developed. What should I do?

Current techniques used in decompression surgery are very advanced today and the possibility of double vision after surgery has decreased considerably. Despite this, especially in patients who have double vision while looking to the right and left before surgery, double vision may develop after decompression surgery. While most of these patients recover on their own within 2-3 months, prismatic glasses or surgical treatment can be applied in cases that do not improve.

Is strabismus observed in thyroid patients similar to strabismus in children?

No. In thyroid patients, treatment is more difficult because there is both function and deformity in the eye muscles. Here, each patient’s own findings are unique and differ from person to person. For this reason, in each case, a personalized treatment is planned in line with the activity of the disease, thyroid hormone tests, and other accompanying thyroid-related ocular findings.

My baby is not born with one eye. I was told that implants are necessary to enable facial development. What path should I follow?

First of all, since these surgeries are performed under general anesthesia, various x-rays and blood tests are required to show that there is no problem in the baby’s additional organs or tissues. Various implants are used to widen the eye socket when the tests are normal. These are divided into fixed volume implants, inflatable implants and self-inflating implants and are used in line with the current findings of the baby. As the eye socket grows with the implants used, the implants placed under general anesthesia are enlarged repeatedly until they reach a certain volume and size. In this way, normal facial development can be achieved.

Could there be problems with implants?

Yes. We use implants to open new cavities in babies who are not born with an eye and therefore an eye socket is not developed. However, the body tries to close the newly opened gaps in itself. For this reason, it is necessary to use implants of appropriate size and shape in order to keep this created cavity always filled.

What happens after enough nests have been formed?

In patients with sufficient orbit and eye space, a prosthesis suitable for this space is made. This procedure does not require anesthesia. It is applied by prosthesis technicians in prosthetic laboratories.

Is the entire eye removed in a removable eye prosthesis?

The oculoplastic surgeon decides what kind of surgery he will perform after evaluating the current structure of the eye. There are two types of surgery for removable eye prostheses. The first is evisceration and implantation surgery and is the most commonly used technique. Here, the outer wall and muscles of the eye are preserved and an implant is placed in the eye. Enucleation and implantation are used less frequently and are generally used today for the treatment of intraocular tumors. In this technique, an implant is placed in the eye socket using the eye muscles. In both techniques, it is waited for 1 month for the implant to heal in place, and then the prosthesis is made.

How many types of implants are there, is there a difference between them?

The most commonly used implant types today are implants made of acrylic, silicone, bioceramic and natural coral. Acrylic and silicone implants are non-integrated into the body, and implants made of bioceramic and natural coral are porous implants that integrate into the body with blood vessels. With additional surgical procedures, the movements of the prosthesis can be further increased with porosimplants. The suitability of these surgeries and the choice of implant are evaluated by the oculoplastic physician.

How much work will I fall behind for prosthetic surgery? How many permits do I need?

The prosthetic surgery patient stays in the hospital for 1-2 days after the operation and is discharged. Within a week, they recover and work at home. As most patients will want to go to work after the prosthesis is made, since their lids will be closed for 1 month, patients usually rest for 1 month. However, if it is necessary, it is possible to go back to work after 10 days with the eyes closed.

Your eye was removed due to a tumor when I was younger and had radiation therapy. Now my eyes and the side of my face are small. What should I do?

This picture is one of the most difficult subjects of oculoplastic surgery. Here, it is possible to perform socket surgery by removing the mucous membrane from the mouth and adipose tissue from the abdomen.

I had surgery to wear a prosthesis several times before, but my prosthesis is still falling off. I’m tired of having surgery now. What should I do?

Socket contraction is a table that is very difficult to treat. It is a situation in which even expert oculoplastic surgeons have difficulties. First of all, it is necessary to reveal which area of ​​your eye has tissue deficiency and to apply the procedure accordingly. Perhaps applying epithelial surgery instead of prosthesis may be more beneficial in cosmetic terms.

What is epithelial surgery?

Epithesis is a kind of implant surgery applied to people whose eyes were removed for various reasons and who cannot wear a prosthesis. They are prostheses that fill the orbital orbit to fit the magnets attached to the bones around the eye and are cosmetically designed similar to the other eye.

How do I know when implant removal has developed? What are their findings?

The findings of this picture can develop very insidiously and can sometimes be detected during routine eye examinations without any findings. In addition, symptoms such as excessive burrs, redness, shifting of the prosthesis to the right and left, and prosthesis coming forward may occur. When you remove the prosthesis, if you look in the mirror, a red, pink convex conjunctival surface is seen. The implant itself can be seen during the expulsion process, which usually starts from the middle of this surface.

What should I do if the implant is discarded?

Implant removal is an emergency. In this table, the implant in the eye socket has come into contact with the external environment. Therefore, there is a predisposition to an infection. While minor implant openings can be corrected with simpler medical and surgical procedures, more serious openings and expulsions require major surgeries. Therefore, better results are obtained with early diagnosis.

Can I wear an implant-free prosthesis?

After eye reduction, a volume loss of approximately 7 cc occurs in the eye. This lack of volume causes drooping of the eyelid, hollowing of the eye, and the formation of a deep groove on the upper lid. If we try to fill this volume deficiency with a prosthesis only, we will have to use a 7 cc thick and heavy prosthesis, which does not move and can cause additional valve deformity by stretching the lower lid on which it sits due to its weight. For this reason, oculoplastic surgeons use 18-20 mm spherical implants to correct this volume deficiency. Spherical implants are more difficult to reject and are more compatible with the eye. This size implant corrects the volume deficiency of approximately 5 cc. Since the implant material is light and placed in the orbit, it does not burden the eyelid. The remaining 2 cc volume deficiency is corrected with the prosthesis placed in front of this implant. In this way, we use a lightweight prosthesis that is moved by the implant behind it.