Whether the problem is primarily cosmetic or sight related, Duke Eye Center's experienced oculoplastic surgeons offer the best medical and surgical therapies for a variety of conditions of the eyelids, eye sockets, and tear ducts, including droopiness (ptosis) of the eyelid, eyelid cancers, and tearing eye.
Cosmetic laser surgery to improve the appearance of the face is also offered.
For those with lower-eyelid puffiness, dark circles, or drooping upper lids (ptosis), Duke offers an outpatient surgical procedure called blepharoplasty (eye lift or eyelid lift surgery). This procedure provides both cosmetic and functional improvement with minimal risk of serious problems.
Most patients can expect to look younger and often have an improved visual field. Results last for several years and can sometimes be permanent.
Ectropion (out- or down-turning) and entropion (in-turning) of the eyelid can cause symptoms such as discomfort, tearing, mucus discharge, and reduced vision.
Ectropion may be treated with lubricating drops or ointments or with surgery.
Entropion is usually treated surgically. For elderly or other patients who may not be able to undergo surgery, sutures or injected medications may be used, although they tend not to be permanent.
Learn more about ectropion and entropion of the lower eyelid.
In all cases of eyelid cancers, it is important that diagnosis and treatment happen as soon as possible. This prevents spread and gives the best chance of complete removal of the cancer, in addition to full reconstruction of the eyelid with minimal functional cosmetic deformity. Complete excision is essential to prevent recurrence, which may be even more difficult to treat.
Surgery is the most appropriate method of removing tumors from the eyelids. A pathologist will then examine the specimen to ensure that the entire tumor was eliminated (Mohs technique).
Once the cancer is removed, the eyelid is reconstructed using a variety of different techniques which depend on the size and location of the defect.
Eye socket (orbit) conditions treated include:
Additional conditions treated include:
Dermatochalasis -- excessive skin in upper or lower eyelid
Blockage of the tear-drainage system can be congenital or acquired later in life. Also known as tearing eye, the condition may resolve over several months with mild treatment such as massage and topical antibiotics. If infection occurs, surgery may be needed.
Procedures that may be used to treat blockage of the tear-drainage system include:
Learn how to make an appointment with our oculoplastic surgeons at one of our locations near Durham, Raleigh, Cary, and Winston-Salem, North Carolina.