Oculoplastics

operation

The Oculoplastics Department at BMEC treats adults and children with a large range of conditions affecting the eyelids and the surrounding area of the face, tear (lacrimal) drainage system and the eye socket (orbit).

Examples of referrals include:

  • Eyelid malpositions such as entropion (in-turning lid), ectropion (out-turning lid) and ptosis (droopy lids)
  • Eyelid lumps such as chalazia (meibomian cysts), papillomata (warty lesions) and sebaceous cysts
  • Eyelid cancers including BCC (basal cell carcinoma) and SCC (squamous cell carcinoma)
  • Facial palsy
  • Blepharospasm
  • Watery eyes from blocked tear ducts
  • Infections involving the eyelids or orbit
  • Trauma to the eyelids or tear drainage system
  • Orbital trauma including fractures
  • Thyroid Eye Disease

Investigations:

We offer a range of investigations including radiological assessment of the orbit and surrounding structures with ultrasonography, CT, MRI and scintillography (imaging of the tear drainage system); various haematologic, immunologic and biochemical investigations in relation to orbital diseases; histopathology to assist diagnosis of suspicious lesions and electrodiagnostic testing to assess the function of the optic nerve which can become compressed in certain orbital conditions.

Treatment:

We treat patients in a variety of ways depending on the specific condition. This can simply be drops & ointments, oral medication and advice about lid hygiene and diet. Treatment may also necessitate admission for intravenous medication such as antibiotics for orbital infections or steroids for active thyroid eye disease. We also provide a botox injection service for eyelid spasm and facial palsy. Surgical procedures are, however, necessary for many oculoplastic conditions. We have facilities for Day Surgery in addition to an In-patient Eye ward.

Examples of operations performed include:

  • lid repositioning surgery
  • electrolysis of in-turning lashes
  • excision of lid lumps
  • excision of lid cancer with reconstruction including skin grafting
  • bypass surgery for blockage of tear ducts: this can be done by either external or endonasal scarless DCR surgery
  • drainage of orbital abscesses
  • repair of lid lacerations
  • orbital floor fracture repair
  • orbital decompression to reduce excessive prominence of the eyes caused by conditions such as thyroid eye disease
  • biopsy of orbital lesions to aid diagnosis
  • evisceration or enucleation (removal of a non-functioning eye to relieve pain or improve cosmesis)

Clinics and Referrals:

BMEC provides a comprehensive oculoplastic, lacrimal and orbital service with a consultant oculoplastic surgeon on-site every day of the week to deal with all clinical matters including emergencies. In addition to the oculoplastic and lacrimal clinics, there is a weekly supra-regional specialist orbital service as well as an on-site artificial eye clinic. We accept referrals from Birmingham, the West Midlands and much further afield for complex oculoplastic and orbital diseases. Apart from BMEC, we also have an Oculoplastic Service at Sandwell Hospital.

Locations:

Birmingham and Midland Eye Centre

City Hospital

Dudley Road

Birmingham

B18 7QH

Sandwell General Hospital,  Eye Clinic

Lewisham Street

Hallam

West Bromwich

B71 4HJ

Team

Consultants:

Mr David Cheung (Sandwell General Hospital)

Mr Omar Durrani (Service Lead)

Mr Yajati Ghosh

Mr Aidan Murray

Ms Charlotte Sullivan

Contacts

BMEC

Secretary to Mr Murray – Denise Kaur

Tel: 0121 507 6849

 

Secretary to Ms Sullivan – Parul Begum

Tel: 0121 507 6808

 

Secretary to Mr Ghosh – Anna Beckett

Tel: 0121 507 6833

 

Secretary to Mr Durrani – Marie Gribb

Tel: 0121 507 6894

 

Sandwell General Hospital:

Secretary to Mr Ghosh – Jean Gibbs

Tel: 0121 507 2812

 

Secretary to Mr Cheung – Jayne Evitts

Tel: 0121 507 3165

Back to Services