Department of Ophthalmic Plastic surgery, and Ocular Oncology Services
The Department of Ophthalmic Plastic surgery, and Ocular Oncology Services is a specialized medical unit within a healthcare institution that focuses on the diagnosis, treatment, and management of disorders related to the eye socket (orbit), the structures around
the eye, and various eye-related cancers.
Lacrimal system:
Nasolacrimal duct obstructions both congenital and acquired are routinely treated, with probing,
balloon dacryoplasty, external/endonasal dacryocystorhinostomy and Conjunctivodacryocystorhinostomy with Jones’ tube placement. Lacrimal gland Botox for excessive watering of eye (epiphora).
Orbit services:
The orbit is the bony cavity that houses the eye and its surrounding structures. The orbit
services offered by this department include the evaluation and management of a wide range of
conditions affecting the orbit, such as orbital fractures, orbital tumors, orbital inflammations
(orbital cellulitis), and congenital anomalies. Highly skilled ophthalmologists and oculoplastic
surgeons work together to provide expert care for patients with orbit-related issues.
Ophthalmic Plastic surgery Services:
Ophthalmic Plastic surgery (oculoplasty) is a subspecialty within ophthalmology that deals with
the reconstruction and restoration of the eyelids, lacrimal system, and surrounding facial
structures. The Oculoplasty Services in this department offer surgical and non-surgical solutions
for various conditions like drooping eyelids (ptosis), entropion (inward turning of the eyelids),
ectropion (outward turning of the eyelids), Periocular Skin Grafting, injection botox in
blepharospasm, hemifacial spasm and eyelid trauma. These procedures not only improve
aesthetics but also aim to preserve and enhance the functionality of the eyelids and surrounding
areas.
Ocular Oncology Services:
The Oncology Services in this department focus on the diagnosis, treatment, and management
of eye cancers, including primary intraocular malignancies, eyelid tumors and secondary ocular
tumors. These cancers may originate within the eye or spread to the eye from other parts of the
body. Chemotherapy is administered for the relatively common childhood cancer
Retinoblastoma, and other rarer ocular and orbital cancers both primary and as adjuvant to
surgery and radiotherapy after consultation with pediatric oncologist.
Ocular prosthesis
Ocular Prosthesis is an artificial eye or aesthetic model of eyelids and globe which is fit for
patients with phthisis bulbi or those whose eyes or orbital contents including globe have been
surgically evacuated. During enucleation/evisceration (surgical process of removing the eye), a
ball implant is inserted into the eye socket, to fill the area the eye once occupied. An ocular
prosthesis is then moulded to fit in front of the implant. It occupies the space between the
eyelids and the conjunctiva covering the implant.
Name- | Dr Narendra Patidar |
Designation- | Head of Department and Consultant, MBBS- NSCB medical college, Jabalpur DOMS-MGM, Indore |
Fellowship- | FCO, Sadguru Netra Chikitsalaya, Chitrakoot Fellowship in Ocular Oncology, CSF, Hyderabad Special interest in Ocular Oncology |
Dr Prateek Tiwari
MBBS, MD, DM (Pediatric Oncology)
Dr Vinita kothari
MBBS, MD (Pathology)
Dr Poonam Arora Agrawal
MBBS, MD (Pathology)
Dr Prateek Gehlot
MBBS, MD (Radiology)
The Institute offers a 3 year fellowship in Comprehensive Ophthalmology. Training includes
clinical, surgical, educational and research activities.
This unique program trains in the entire spectrum of ocular-adnexal disorders and cataract
surgery. During the course of the fellowship, a fellow becomes accomplished in the diagnostic
evaluation, medical and surgical treatment of eyelid disorders like upper and lower lid Entropion,
ectropion, Simple mass excision of lid, Lid tear repair with minimanoka stent, lacrimal
procedures like Simple and complex external DCR, DCT, Punctal Cautery, Punctoplasty.
Exposure to orbital disease and orbitotomy, simple and four petal Evisceration, enucleation, lid
reconstruction, skin grafting, Mucous membrane graft, exposure to various cosmetic procedures
like Injection Botox. Exposure to ocular oncology, such as managing Retinoblastoma and other
orbital tumours.
Ophthalmic plastic surgery and ocular oncology are the main areas of
research within the department and in collaboration with several ophthalmic
institutes affiliated with BODHA EYE CONSORTIUM (BEC).
Additionally, the research program is centered on the topic of General
Ophthalmology in collaboration with other departments at the Institute.
Prior to any surgical or non-surgical procedure, we will carefully review your concerns as well as your other medical conditions and all your medications. Once we arrive at the appropriate intervention the procedure will be discussed and all your questions will be answered.
You will asked to arrive between one to two hours prior to surgery for the nursing staff to greet and prepare you for the operating room. Normally you will be called the day before to confirm the time of arrival. The staff will review your medical history and medications. The anesthesiologist will also meet with to review the anesthesia plan and to answer any questions you may have. Finally, the surgical team will greet you in the preoperative holding area to confirm the surgical plan, answer any questions and the mark the surgical site.
Immediately after your surgery, you will recover in the post-operative area of the surgical center. You may have a cold compresses and ointment in your eyes so don’t be alarmed that your vision is blurred or obscured. While you recover a nurse and recovery team will be available at all times. Once you are fully recovered you will be able to have something to light to drink and eat.
Please have bags of frozen peas or cold compresses at home ready for use. And please review the pre-operative instructions that have more specific details (link).
Final note to smokers: please reduce or stop smoking 2-3 weeks before and after surgery to allow accelerate healing, reduce risk of infections, and improve your surgical outcomes.
For a few days your vision may be blurry due to the ointment that is used on your eyes, as well as normal post-operative swelling. Have someone reliable assist you the night after surgery.
Recovery is usually well tolerated by most patients. Pain is normally mild to moderate and can be controlled with over the counter pain medications or stronger prescription strength medications.
Remember to use ice packs for the first 2-3 days after surgery as this reduced swelling and helps with any pain. And please review the post-operative instructions that have more specific details (link).
As with any surgical procedure, there are potential risks and complications that may occur despite the best circumstances and efforts. Patients have the right and responsibility to be completely informed about the procedure including the specific benefits, risks, and alternatives. These will be reviewed with you and ultimately you will decide if the benefits of the procedure outweigh the risks and complications.
Pain, excessive bleeding, infection, and failure to improve the function and appearance of the eyelids and eye are all rare but will be detailed during your consultation.
Not all conditions or concerns are covered by insurance plans. After your consultation additional testing may be required to document the medical necessity of the condition prior to insurance covering the cost of the procedure. Should this be deemed an aesthetic or cosmetic concern, we can discuss that with you and present alternatives.