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» Heavy Eyes, Baggy Eyes, Hooded Eyes » Cataracts » Watering Eyes » Thyroid Eye Disease » Eyelid Ptosis

» Eyelid Tumours » Dark Circles » Blepharitis » Entropion/Ectropion » Lumps & Bumps

Heavy Eyes, Baggy Eyes, Hooded Eyes

Patients with overhanging upper eyelid skin, puffy or baggy lower eyelids or lower eyelid dark circles giving a tired or aged look may benefit from blepharoplasty surgery, a commonly performed operation to improve a patient’s appearance and/or a patient’s visual field and comfort. Read more...

Cataracts

Cataract surgery is performed routinely every day throughout the world. In developed countries it has become one of the most technically advanced areas of modern medicine. The operation can be performed either on a day-case or in-patient basis, either under local or general anesthesia depending on the preferences of the patient, the consultant and clinical considerations. Read more...

Watering Eyes

Excessive tearing or the bothersome problem of tears overflowing down the cheek is called epiphora. This can have many different causes. A careful clinical examination is performed to determine the underlying cause. Treatment will depend on the cause e.g. if the lower eyelid is sagging away from the eye and causing epiphora, the treatment will be surgery designed to reposition the eyelid. Epiphora commonly develops from abnormalities in the lacrimal drainage system from scarring due to injury, recurrent infection, the ageing process, or from unknown causes. Read more...

Thyroid Eye Disease

The thyroid gland, located in the neck, produces thyroid hormone which helps regulate our metabolism. It may occasionally produce too much thyroid hormone (hyperthyroidism or thyrotoxicosis) or too little (hypothyroidism or myxoedema). Imbalance in either direction can cause eye and vision problems. The precise cause of thyroid eye disease, which may be very variable in its manifestations, remains a mystery. Read more...

Eyelid Ptosis

Ptosis means downward displacement. Ptosis in ophthalmology refers to a drooping upper eyelid. Ptosis which is present at birth is often caused by poor development of the eyelid-lifting muscle, called the levator. The most serious problem is amblyopia. This is poor vision in an eye that failed to develop normal sight in the early years of life. Read more...

Eyelid Tumours

Mohs micrographic surgery is a highly specialised surgical technique to remove certain skin tumours. It has an extremely high cure rate; no other treatment modality can guarantee complete removal of the tumour to as high a degree of certainty. Further, this technique ensures that an absolute minimal amount of normal tissue is sacrificed. This is of immense importance around the eyes. This also ensures that the reconstructive surgery required to deal with the ensuing defect is less extensive. Read more...

Dark Circles

This quite new non-surgical treatment is appropriate for some patients with lower eyelid dark circles/dark hollows (also referred to as tear troughs). In the lower eyelid a weakening of the supporting tissues, and in the cheek area (the mid-face) a loss of soft tissue, tend to highlight the appearance of the bony rim of the eye socket which lies between the lower eyelid and the cheek. Read more...

Blepharitis

Blepharitis is a very common infection of the eyelids. Bacteria which normally live on our skin produce irritating chemicals. Special tear glands, called meibomian glands, which are located in the eyelids, get blocked up. Since these glands help to make our tears, blepharitis results in the production of abnormal tears. This is not a lack of tears, but tears which are of poor quality. Blepharitis is often associated with skin problems such as dandruff and dermatitis. Read more...

Entropion/Ectropion

In the case of acute spastic entropion, the treatment is directed to the provoking stimulus e.g. ingrowing eyelashes, blepharitis, dry eye. Although a bandage contact lens or botulinum toxin injections may improve symptoms temporarily, these are rarely justified. The use of lower lid tape can be advised for use in primary care while the patient is waiting to be seen by an ophthalmologist. Read more...

Lumps & Bumps

Styes and chalzions are small fluid-filled cysts that develop along the eyelid as a result of an infection or blocked oil gland. While these bumps do not usually lead to any serious complications, they may cause pain, swelling and tearing of the eye. Larger chalazions may gradually obstruct vision.

A stye appears on the eyelid as a small red bump, while a chalazion is similar but usually larger and not as painful. Styes usually heal within a week, while chalazions can take up to a few months.

Many styes and chalazions go away on their own with no need for treatment other than warm, wet compresses. Your doctor may prescribe antibiotic eye drops or recommend over-the-counter treatments for those that do not heal on their own. Patients should avoid wearing makeup or contact lenses until after the stye or chalazion has healed.
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