Oculoplastics | Functional & Medical
Blepharoptosis is the term for drooping of one or both upper eyelids. This may occur in varying degrees from slight drooping to complete closure of the involved eyelid. In the most severe cases, the drooping can obstruct the visual field and cause positional head changes.
Most cases of brow ptosis occur secondary to involutional changes from descent and deflation of the periorbital soft tissues and soft tissues of the face. Typically, this manifests in the temporal 1/3 of the brow first. The frontalis muscle is responsible for elevating the eye brow. The frontalis is innervated by the frontal branch of the facial nerve. The frontalis muscle is responsible for elevating the medial 2/3 of the brow and with age, collagen laxity, and descent of the periorbital soft tissues, patients develop temporal brow droop.
Entropion / Ectropion Repair
Ectropion and Entropion are common maladies of the eyelid margin that can directly affect ocular function and patient comfort; surgical repair is commonly performed.
Eye Removal (Enucleation/Evisceration)
For patients who have blind, painful eyes or tumors in the eye that are not amenable to other treatments, we offer the option of surgically removing the eye. After removal of the eye, we work with local ocularists to help fit the patient with a custom made prosthesis that will match their functional eye.
Eyelid Cancer Reconstruction
Abnormal skin growths around the eye are a common occurrence. While many of the lesions are benign (non- harmful) in nature, they can also be malignant cancerous growth(s) which require removal and reconstruction. It is always better to have these lesions evaluated sooner rather than later if you have a suspicious lesion.
Eyelid and Facial Dystonia
We frequently encounter patients who are unable to keep there eyes open or control their facial movements due to abnormal muscle spasms in the face. Some conditions such as Blepharospasm, Hemifacial Spasm and facial synkinesis can be treated with neuromodulators (such as BOTOX®).
Eyelid Lesion Evaluation
Lesions around the eye are a common occurrence. These can range from skin growths, to irritating bumps (sometimes due to a chalazion) or infections (such as an abscess).
Nasolacrimal System Reconstruction
Some patients experience excessive tearing because the normal tear drainage pathway becomes blocked. This can be due to conditions such as nasolacrimal duct obstructions, dacryocystitis, punctal or canalicular stenosis, canaliculitis, or lacrimal tumors. This can occur at different levels of the lacrimal system and, in certain conditions, repair of this requires us to perform a Dacryocystorhinostomy (DCR).
Temporal Artery Biopsy
Description Coming Soon…
Thyroid Eye Disease
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Meet Dr. Kumar
Neel Kumar, MD is a fellowship-trained ophthalmologist specializing in ophthalmic plastic and reconstructive surgery at Triad Eye Institute. He performs a variety of functional and cosmetic oculoplastic procedures, including brow lifts, brow ptosis repair, upper and lower blepharoplasty and more.
He graduated from the from the University of South Alabama College of Medicine in 2010 and completed Fellowships in cosmetic and reconstructive surgery of the eyelids, orbit and lacrimal system at the University of South Florida-Morsani College of Medicine in Tampa and Duke University Hospital in Durham, North Carolina.
Schedule a Consultation
We encourage you to schedule a consultation with Triad Eye Institute today. During our meeting, we will advise on whether or not you’re an ideal candidate for a Yag Laser procedure following Cataract Surgery. Call our office today and one of our seasoned staff members will be able to assist you.