Treatments

Ophthalmology

Opthamology

Taking care your eyes

Ophthalmology is a generic terms which covers a wide range of eye conditions. While an optician will look after your eyesight, an ophthalmologist will diagnose, prevent and treat disorders of the eye itself, using medical and surgical skills.

At PHP, our Ophthalmologist is Ms Morag Ashdown who offers the following services, including Oculoplastic Surgery on-site.

  • Blepharoplasty (eye lift surgery)
  • Entropion repair (inward facing eyelid)
  • Ectropion repair (outward facing eyelid)
  • Periocular excision of eyelid lesion (removal of lumps from eyelid)
  • Syringing of tear ducts
  • Eyelash epilation (ingrowing eyelashes)

 

BLEPHAROPLASTY

Blepharoplasty (Eyelid surgery) is a cosmetic eye surgery which deals with the contours of the upper and lower eyelid space. It is one of the most commonly undertaken cosmetic surgical procedures done. Eyelid surgery is used for both functional and aesthetic reasons, it is an excellent way to improve fine lines, wrinkles, dark circles, and under-eye bags or hooded heaviness.

You will be fully assessed during your initial consultation for your suitability of proceeding with eyelid surgery. Your goals will be assessed as well as any medical risks you may have (such as thyroid disease, diabetes and dry eyes to name a few). If you and the surgeon are happy with this discussion you can book in for the procedure with our team.

How long does eyelid surgery take?
You can expect the surgery to last between 45 minutes and 1 ½ hours depending on a number of variables. You should always ensure you have someone to bring you home following the procedure. It is best if they also stay with you for a few hours to ensure you are fully recovered following the procedure.

Recovery after surgery
After the procedure the surgeon will apply dressings to aid post-op recovery.
Remember that directly after the procedure, you may have some blurred vision due to the antibiotic ointment as well as possibly dry eyes. There may also be some ongoing numbness for a few hours due to the local anaesthetic.

You will be advised to avoid any strenuous activity and take it easy for 2 weeks. In the first few days, keeping the head in an elevated position and the regular use of ice packs is recommended to minimise any bruising and swelling.
Skin sutures will be removed 1 week later, at your post-op visit.

LOWER LID MALPOSITION

There is a progressive loss of elasticity of the lower lids with time, and a secondary lower lid malposition may result. This is either a rolling outwards of the lower lid ‘ectropion’ or a rolling inwards ‘entropion’. These may bring unwanted symptoms of irritation and/or watery eye.

Entropion or ectropion may be surgically repaired under local anaesthetic, with the aim of tightening and tucking the lower lid back into position, and appropriately correcting any rotational malposition. If required, a small procedure to aid the tear drainage (lacrimal punctoplasty) may also be done at the same time.

How long does eyelid surgery take?
You can expect the surgery to last about 40 minutes.

Recovery following surgery:
Immediately after the procedure, You will have an eyepad placed, which you are advised to keep on overnight, to minimise any bruising/swelling.

Antibiotic ointment is given, to be used x3/day for 2 weeks into the operated eye, and along the tiny stitches placed in the skin at the outer corner of the eye. Typically, you will have some post-op bruising in the first week along your lower lid, which will subside over the next 2-4 weeks.

A post-op review in clinic is scheduled for 1 week, when sutures are removed.

EYELID EXCISION +/- BIOPSY

A wide variety of periocular ‘lumps’ or ‘lesions’ can commonly arise along the skin of the eyelid, eyelid margins, corners of the eye or eyebrow skin.

These may cause irritating symptoms or just be of cosmetic concern. Periocular lumps can range from common benign lesions e.g. skin tags/chalazions/styes/cysts, to forms of eyelid skin cancer, especially in older, fair-skinned individuals.

Removal of the lesion is performed under a local anaesthetic, and where indicated, a biopsy specimen is sent for histopathology to obtain a diagnosis.

Recovery following surgery:
Immediately after the procedure, you will have an eyepad placed which you are advised to keep on overnight, to minimise any bruising/swelling. Typically, you will have some post-op bruising in the first week along your lower lid, which will subside over the next 2-4 weeks. Antibiotic ointment is given, to be used x3/day for 2 weeks.

A post-op review in clinic is scheduled for 1 week, when sutures are removed and any biopsy results are discussed.

LACRIMAL PUNCTOPLASTY & SYRINGING

A watery eye is ‘multifactorial’, meaning that there are multiple possible causes, and you may have more than one reason for the watering.

This may be from an overproduction of tears, in conditions such as blepharitis or lid malposition, in a reflex attempt to wet the eyes.

Any narrowing or closure of the lacrimal drainage system of the tears is another major cause. Appropriate treatment varies according to where the blockage is located. Syringing of the lacrimal system with sterile saline will diagnose the area of concern, and direct further management.

If it is just the opening of the lacrimal drainage system ‘punctum’ that is the problem, this is easily treated under local anaesthetic with a simple enlargement or ‘punctoplasty.

The procedure takes no longer than 5-10 minutes for each side, and requires no stitches or eyepad.

An eye drop is given, x3/day for 4 weeks. Post-op clinic review is arranged at your convenience in 4-6 weeks.

 

Ophthalmology

Unless otherwise stated, all prices are per eye
New consultation-£195
Blepharoplasty-from £1995
Dry eye clinic-£195
Minor Surgery
Removal of lumps and bumps from eyelid plus histology-£455 + £300 Histology
Eyelash epilation£295
Punctoplasty/syringing of tear ducts-£295
Oculoplastic Surgery:
Surgery
Ectropion repair from £1995
Entropion repairfrom £995
Ptosis repairfrom £2445
Eyelid tumour removalfrom £1995