Oculoplasty & Eyelid Surgery — Advanced Eye Treatment at a Trusted, NABH-Accredited Eye Care Hospital
Expert reconstructive and cosmetic oculoplastic surgery for ptosis, eyelid malposition, lacrimal disorders, orbital disease, and thyroid eye disease — by experienced oculoplastic eye specialist doctors across 5 centres.
The eyelids, tear drainage system, and orbital structures do far more than frame the eyes — they protect them, lubricate them, and maintain the ocular surface that clear vision depends upon. At MediVision Eye Care Centre, our NABH-accredited eye care hospital offers the complete range of oculoplastic surgery and orbital advanced eye treatment — from ptosis correction and lacrimal surgery, to complex orbital reconstruction and thyroid eye disease management.
What Is Oculoplasty — And Who Needs Oculoplastic Eye Care?
Where ophthalmology meets reconstructive surgery — for the eyelids, orbit, and tear drainage system.
Oculoplasty — formally known as ophthalmic plastic and reconstructive surgery — is the subspecialty of ophthalmology concerned with surgical and medical management of the eyelids, eyebrows, forehead, cheeks, orbit (the bony socket surrounding the eye), and the lacrimal (tear drainage) system.
Oculoplastic surgery sits at the intersection of ophthalmology and plastic surgery — requiring both the precision of an eye specialist doctor and the reconstructive skill of a surgical specialist. The conditions it addresses range from functional disorders that directly threaten vision, to structural conditions causing facial deformity, to cosmetic concerns affecting confidence and well-being.
According to the American Academy of Ophthalmology, oculoplastic conditions are among the most diverse in all of eye care — encompassing congenital abnormalities, age-related changes, trauma, tumours, inflammatory disease, and the ocular manifestations of systemic conditions such as thyroid disease.
Content reviewed by the MediVision Eye Care Centre clinical team. Last updated May 2026. Our oculoplastic eye specialist doctors deliver the complete range of reconstructive and cosmetic oculoplasty procedures, integrated with our comprehensive eye care services.
Ptosis — Drooping Eyelid Surgery for Functional and Cosmetic Correction
A drooping upper eyelid can obstruct vision, cause fatigue, and significantly affect appearance.
Ptosis is a condition in which the upper eyelid droops lower than its normal position. In mild cases, ptosis is primarily a cosmetic concern. In more severe cases, the eyelid falls across the pupil — obstructing the visual axis, causing amblyopia in children, and significantly limiting functional vision in adults.
What Causes Ptosis?
Congenital Ptosis
Present from birth, caused by abnormal development of the levator palpebrae muscle. Managed through our pediatric eye care programme — early surgery often prevents amblyopia during the critical developmental period.
Aponeurotic Ptosis
The most common form in adults, caused by stretching of the levator aponeurosis with age — a gradual droop combined with a high or absent eyelid crease. Managed with levator repair or advancement.
Neurogenic Ptosis
Caused by nerve dysfunction affecting the eyelid-elevating muscles — including third nerve palsy and Horner syndrome. Our doctors assess the neurological cause before planning treatment.
Myogenic Ptosis
Caused by muscular disease affecting the levator — including myasthenia gravis. Systemic management with a neurologist often precedes surgical correction.
Mechanical Ptosis
Caused by a heavy eyelid tumour, chalazion, or excess skin (dermatochalasis) mechanically weighing down the upper eyelid.
How Is Ptosis Surgery Performed?
- Levator resection or advancement — for moderate to good levator function, the most common ptosis surgery
- Frontalis sling (brow suspension) — for severe ptosis with poor levator function, particularly congenital cases
- Müller's muscle resection — for mild ptosis with good response to phenylephrine drops, a smaller procedure
Book a comprehensive eye checkup to assess your ptosis and discuss surgical options.
Book a ConsultationEyelid Malposition — Surgical Correction for Entropion and Ectropion
Eyelids turned inward or outward cause corneal damage and persistent discomfort — surgery corrects the problem permanently.
The eyelids must maintain precise alignment with the ocular surface to protect the cornea, distribute the tear film, and prevent exposure. When the eyelid margin turns inward (entropion) or outward (ectropion), this alignment is disrupted.
Entropion — Inward-Turning Eyelid
The eyelid margin rotates inward, causing eyelashes to rub against the cornea with every blink — producing irritation, redness, and in chronic cases, corneal abrasion and scarring. Corrected surgically through tightening of the lower eyelid retractors and horizontal lid tightening.
Ectropion — Outward-Turning Eyelid
The eyelid margin turns outward, leaving the conjunctiva exposed — causing watering, redness, and dry eye symptoms. Severe cases lead to corneal exposure and ulceration. Corrected with horizontal lid tightening (lateral tarsal strip) and, where necessary, skin grafting.
Eyelid Tumours — Diagnosis, Excision, and Reconstructive Eye Surgery
The eyelid region is one of the most common sites for skin cancer in the body — early diagnosis is essential.
Eyelid tumours — both benign and malignant — account for 5–10% of all skin tumours. Early diagnosis and prompt advanced eye treatment are essential to preserve both vision and the structural integrity of the eyelid.
Benign Eyelid Tumours
Common and include chalazia, papillomas, sebaceous cysts, xanthelasma, and naevi. Most are managed conservatively or with minor excision. Our doctors assess every eyelid lump carefully, as some lesions that appear benign may represent early malignancy.
Malignant Eyelid Tumours
Including basal cell carcinoma (most common), squamous cell carcinoma, and melanoma. Features suggesting malignancy include lash loss, irregular margins, and bleeding. Require urgent excision with confirmed clear margins, followed by reconstruction.
Eyelid, Orbital & Lacrimal Trauma — Expert Reconstructive Eye Surgery
Facial and ocular trauma demands immediate, meticulous surgical advanced eye treatment.
Trauma to the periocular region can affect the eyelids, the tear drainage system, the eyeball, and the orbital bones simultaneously. Our NABH-accredited eye care hospital manages all aspects of periocular trauma in a single, coordinated care team.
Eyelid & Lacrimal Lacerations
The eyelid is an anatomically complex structure requiring precise layered repair to restore normal function. Where the lacrimal canaliculi are involved, silicone tubes maintain patency during healing, preventing chronic watery eye.
Orbital Fractures
Blunt trauma can fracture the orbital floor or medial wall, causing enophthalmos, double vision, or numbness. Not all fractures need surgery — our doctors assess with CT imaging, reconstructing with implants where significant.
Thyroid Eye Disease — Specialist Management of Graves Orbitopathy
Thyroid eye disease can cause proptosis, double vision, and vision-threatening orbital compression.
Thyroid eye disease (TED) — also called Graves orbitopathy — is an autoimmune inflammatory condition of the orbital tissues most commonly associated with hyperthyroidism, pushing the eyeballs forward and causing a range of ocular complications.
What Are the Symptoms of Thyroid Eye Disease?
- Proptosis (bulging eyes) — forward displacement of the eyeball
- Periorbital swelling and redness
- Double vision (diplopia) from restricted eye muscles
- Lid retraction — a wide-eyed appearance
- Corneal exposure from incomplete eyelid closure
- Compressive optic neuropathy — a sight-threatening emergency
How Is Thyroid Eye Disease Managed?
Active Phase
Lasting 18–24 months, treated with immunosuppressive therapy, orbital radiation, and close monitoring for optic nerve compression. Our doctors coordinate with endocrinologists throughout.
Inactive Phase — Sequenced Surgery
Once stable for 6+ months, surgery proceeds in sequence: orbital decompression first, squint surgery second, eyelid surgery last — ensuring the best functional and cosmetic outcome.
Lacrimal Drainage Disorders — Treating Watery Eyes, Blocked Tear Ducts & Dacryocystitis
Persistent watery eyes and recurrent infections are signs of lacrimal drainage disease — treatable with advanced eye treatment.
The lacrimal drainage system channels tears through the puncta, canaliculi, lacrimal sac, and nasolacrimal duct into the nasal cavity. Obstruction anywhere along this pathway causes tears to overflow, and in severe cases, recurrent infection (dacryocystitis).
Congenital Nasolacrimal Duct Obstruction
One of the most common conditions managed through our pediatric eye care programme — occurring when the membrane at the lower end of the duct fails to open at birth.
- Conservative management — lacrimal sac massage and antibiotic drops resolve most cases by 12 months
- Lacrimal probing — for cases unresolved by 12–13 months, under brief general anaesthesia
- Intubation — silicone tubes for more extensive obstruction
- DCR surgery — for cases that fail probing
Dacryocystitis & DCR Surgery
Dacryocystitis is an infection of the lacrimal sac, presenting as a tender, red swelling at the inner corner of the eye. Dacryocystorhinostomy (DCR) is the definitive surgical treatment for nasolacrimal duct obstruction in adults, creating a new drainage pathway directly into the nasal cavity.
External DCR
A small skin incision alongside the nose provides direct access to the lacrimal sac and nasal bone.
Endoscopic (Endonasal) DCR
Performed entirely through the nostril using an endoscope — no external incision, no visible scar, faster recovery.
Why Does Early Oculoplasty Intervention Matter for Your Vision and Quality of Life?
Many oculoplastic conditions are progressive — early advanced eye treatment prevents complications and protects vision.
Prevents Amblyopia in Children
Congenital ptosis obstructing the visual axis must be treated early to prevent permanent lazy eye. The critical window is narrow — delayed treatment results in permanent visual impairment.
Protects the Cornea
Entropion, ectropion, eyelid tumours, and thyroid eye disease all cause corneal exposure in advanced stages. Early correction prevents scarring and ulceration.
Prevents Lacrimal Infection
Chronic NLD obstruction left untreated progresses to recurrent dacryocystitis and sac abscess. Early DCR surgery resolves the obstruction before complications develop.
Enables Cancer Cure With Eyelid Preservation
Malignant tumours excised early — with clear margins — need minimal tissue loss and straightforward reconstruction. Advanced tumours require more complex resection.
Preserves Optic Nerve Function
Compressive optic neuropathy from thyroid eye disease is a sight-threatening emergency. Early monitoring ensures decompression surgery happens before permanent vision loss.
What Advanced Eye Treatment Technology Does MediVision Use for Oculoplasty?
Precision oculoplastic surgery demands precise diagnostic assessment and surgical tools.
CT and MRI Orbital Imaging
High-resolution CT is essential for orbital fracture assessment, tumour diagnosis, and thyroid eye disease volume measurement. MRI provides superior soft tissue characterisation.
Slit-Lamp Examination with Photodocumentation
Detailed anterior segment assessment — corneal exposure, lid margin position, tear film — performed at every pre-operative eye checkup.
Visual Field & Optic Nerve Assessment
Humphrey visual field analysis and OCT optic nerve assessment for thyroid eye disease and orbital conditions — the same tools used in our glaucoma treatment programme.
Endoscopic DCR Equipment
Equipped for endoscopic (endonasal) dacryocystorhinostomy — offering scar-free lacrimal surgery with faster recovery than external approaches.
Surgical Microscope and Magnification
All oculoplastic procedures — particularly laceration repair, canalicular reconstruction, and ptosis surgery — are performed under surgical microscope magnification for delicate tissue handling.
How Does Oculoplasty Care Work at MediVision? Your Step-by-Step Journey
From urgent trauma to planned reconstructive surgery — every step is supported.
Book an Oculoplasty Consultation
Call, WhatsApp, or book online. Urgent assessment is available for trauma, acute dacryocystitis, and compressive optic neuropathy from thyroid eye disease.
Comprehensive Oculoplastic Eye Checkup
Eyelid position and function assessment, levator function testing, lacrimal assessment, corneal evaluation, and orbital assessment where relevant — while screening for co-existing eye conditions.
Diagnosis & Personalised Treatment Plan
Your surgeon explains diagnosis, functional and cosmetic implications, surgical options, expected outcomes, and costs. All decisions are collaborative, following NABH consent standards.
Surgical Advanced Eye Treatment
Most procedures are day surgeries under local or general anaesthesia depending on procedure type and patient age, with full pre-operative preparation.
Post-Operative Care & Recovery
Complete written aftercare — wound care, drop regimen, activity restrictions. Recovery varies from 1–2 weeks for eyelid surgery to longer for orbital reconstruction.
Long-Term Comprehensive Eye Care
Continued eye checkups for vision correction review, dry eye management, corneal health monitoring, and long-term assessment of the surgical outcome.
Why Should You Choose MediVision for Oculoplasty and Eyelid Surgery?
Both Functional and Cosmetic Care
Complete range of oculoplastic surgery — functional reconstruction and cosmetic oculoplasty. Our surgeons prioritise both visual function and aesthetic outcome in every procedure.
NABH-Accredited Across All 4 Centres
Surgical safety standards, anaesthesia protocols, sterilisation, and post-operative care independently certified at every centre.
Manages Oculoplasty Alongside Other Conditions
Our surgeons work within a team covering retina, glaucoma, cataract, cornea, and pediatric eye care — integrated, sequenced care without fragmented referrals.
34+ Years, 5.25 Lakh+ Patients
Dedicated subspecialty training from routine ptosis and DCR surgery to complex orbital reconstruction and thyroid eye disease management.
Pediatric Oculoplasty
Congenital ptosis, congenital NLD obstruction, and developmental eyelid conditions managed by our specialist pediatric eye care and oculoplastic team.
Expert Oculoplastic Care, NABH-Accredited Standards, All at MediVision.
Oculoplastic conditions — from a drooping eyelid and watery eyes to orbital tumours and thyroid eye disease — deserve expert assessment within an NABH-accredited eye care hospital. Our programme is fully integrated with comprehensive eye care across 4 centres, backed by 34+ years and 5.25 lakh+ patients served.
