Oculoplastics & Keratoconus
Treatments & Surgery
V. E. MEDICAL ORANGE GROVE PLAZA ST. LUCIA
To arrange a initial consultation and treatment advise
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OCULOPLASTICS
DR STEFAN KHAN - OCULOPLASTICS SURGEON
DR Khan has a Degree in medicine from the University of the West Indies. Registered work. Royal College of Physicians and Surgeons Glasgow — FRCS in Ophthalmology. Ophthalmology training. In diagnosing and managing Ophthalmologic conditions in a clinical, surgical and emergency setting. Specialty Paediatric Ophthalmology Clinic and Theatre, Retinopathy of Prematurity Screening and Treatment, Diabetic Screening Services. Following General ophthalmology experience Dr. Khan obtained a fellowship in oculoplastics in the UK. DR Khan was employed as Oculoplastic Fellow at Buckinghamshire Healthcare NHS. Trust, where he was involved in clinical and surgical management of patients. With emphasis on oculoplastics surgery.
OCULOPLASTICS
Oculoplastics is a  sub-specialty of ophthalmology. It focuses on the medical and surgical treatment of structures around the eye, including the eyelids, eyebrows, eye socket and tear drainage system.
Oculoplastic Surgeons. complete an ophthalmology residency followed by a dedicated fellowship in cosmetic and reconstructive eye surgery.
CONDITIONS TREATED
- Ptosis
- Ectropion and Entropion
- Poor/Incomplete lid closure
- Dry eyes
- Chalazia and Blepharitis
- Thyroid Eye Disease
- Watering eyes
- Prosthetic eyes,
- Skin Cancers,
- Various Lumps and Bumps,
- Botox and Dermal Filler.
- Trauma and Reconstruction
- Eyelid Cosmetics
SURGERIES OFFERED
- Blepharoplasty
- Repair Of Ptosis
- Repair of Ectropion
- Repair of Entropion
- Trauma/Reconstructive surgery
- Dacryocystorhinostomy
- Chalazionincision and drainage +/- intrlesional steroid injection
- Cyst Excision
- Biopsy of Eyelid Lesions
- Lacrimal Syringing and Probing
- Punctoplasty and Lacrimal StentingÂ
- Botox injection for Blepharospasms/ Hemifacial SpasmsÂ
- Cosmetic / crows feet / WrinklesÂ
- Lacrimal Gland Botox
Blepharoplasty
- Repair Of Ptosis
- Repair of Ectropion
Repair of Entropion
- Trauma/Reconstructive surgery
- Dacryocystorhinostomy
- Chalazionincision and drainage +/- intrlesional steroid injection
- Cyst Excision
- Biopsy of Eyelid Lesions
- Lacrimal Syringing and Probing
- Punctoplasty and Lacrimal StentingÂ
- Botox injection for Blepharospasms/ Hemifacial SpasmsÂ
- Cosmetic / crows feet / WrinklesÂ
- Lacrimal Gland BotoxÂ
- Anophthalmic socket surgery
- Balloon dacryoplasty
- Blepharoplasty
- Botox injections
- Brow lift
- Cosmetic surgery
- Custom orbital implants
- Dacryoscintigraphy
- Ectropion repair
- Electrolysis for misdirected lashes
- Endoscopic dacryocystorhinostomy
- Entropion repair
- Eyelid lesion removal
- Eyelid retraction repair
- Facial fillers
- Fat grafting
- Gold weight implant
- Lacrimal surgery
- Ocular surface reconstruction
- Orbital decompression
- Orbital fracture repair
- Orbital tumor removal
- Ptosis repair
- Scar revision
- Skin cancer reconstruction
OUR SERVICES
Our expert team of oculoplastic surgeons offers a variety of services, including but not limited to:
- Eyelid Surgery: For drooping eyelids (ptosis), eyelid malpositions such as entropion and ectropion, and removal of eyelid tumors.
- Tear Duct Procedures: To address issues with tear duct obstructions that can lead to chronic infections and watery eyes.
- Orbital Surgery: For thyroid eye disease, orbital tumors, and fractures.
- Cosmetic Procedures: Including eyelid lifts (blepharoplasty), brow lifts, and Botox injections for both aesthetic improvements and medical conditions like blepharospasm.
KERATOCONUS
Keratoconus is an eye condition where the clear front surface of your eye (the cornea) thins and gradually bulges outward into a cone shape. This abnormal shape causes distorted vision, severe nearsightedness, and irregular astigmatism.
SymptomsÂ
Symptoms typically begin in the teenage years or early adulthood:
- Blurry or distorted vision
- Increased sensitivity to light and glare
- Frequent changes in eyeglass or contact lens prescriptions
- “Halos” or ghosting around lights, making night driving difficult
Causes and Risk Factors
While the exact cause is not fully understood, it generally stems from a breakdown of collagen structures in the cornea. Major risk factors include:
- Genetics: A family history significantly increases your risk.
- Eye Rubbing: Vigorously or chronically rubbing your eyes is strongly linked to the progression of the disease.
- Other Conditions: Associated with conditions like hay fever, asthma, Down syndrome, and Ehlers-Danlos syndrome.
Overview
- Keratoconus occurs when the cornea thins and gradually bulges outward into a cone shape.
- Rubbing the eyes vigorously can affect the corneas.
- People of all age groups can develop keratoconus.
- The most common symptom of keratoconus is rapid visual impairment that can lead to vision loss.
- Keratoconus cannot be cured, but some means can help slow disease progression.
- Generally, keratoconus cannot be prevented, but there are ways to manage the condition.
Treatment Options
There is no cure, but the condition is highly manageable. Treatment depends on the severity and progression of the disease:
- Glasses and Contact Lenses: Early stages can be managed with standard glasses, but specialized rigid gas-permeable or scleral contact lenses are often required to create a smooth, artificial refractive surface as the cone develops.
- Corneal Cross-Linking (CXL): An outpatient procedure that uses UV light and vitamin drops to stiffen the cornea. This is the only treatment that can slow progression of the diseaseÂ
Untreated keratoconus can lead to permanent vision loss. The changes to the cornea make it difficult for your eye to focus with or without eyeglasses or standard soft contact lenses
COLLAGEN CROSS LINKING SURGERY
BOOK A CONSULTATION & COLLAGEN CROSS LINKING SURGERY V. E. MEDICAL ORANGE GROVE PLAZA ST LUCIA
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Corneal Collagen Cross-Linking (CXL) is an outpatient procedure designed to halt the progression of keratoconus.
It works by using prescription vitamin B2 (riboflavin) drops and ultraviolet (UV) light to create new chemical bonds in the cornea, stiffening and strengthening the tissue.
HEAD OPHTHALMIC SURGEON PERFORMING COLLAGEN CROSS LINKING.
Dr. Alejandro Guerra Garcia
How the Procedure Works
- Preparation: The surgeon applies numbing drops and typically removes the eye’s delicate outer layer (the epithelium) to allow for better absorption.
- Soaking: Riboflavin eye drops are applied to the cornea continuously for 10 to 30 minutes.
- UV Activation: A specialized UV light device shines directly on the eye for 10 to 30 minutes. The light reacts with the riboflavin to form sturdy collagen cross-links.
Recovery & Aftercare
- Immediate Recovery: Expect significant discomfort, a gritty sensation, and light sensitivity for the first 2 to 3 days post-surgery.
- Eye Drops: You will need to use a strict regimen of antibiotic, steroid, and lubricating eye drops for several weeks to prevent infection and reduce inflammation.
- Vision Stabilization: While the goal of the procedure is to stop the cornea from bulging further, vision may fluctuate for a few weeks to months before stabilizing.
Corneal cross-linking
Cross-linking has a success rate of over 90% in preventing the disease from worsening and preserving existing vision.
Corneal cross-linking isn’t a temporary fix. For most patients, its effects can last for many years, often for life.
However, several factors including age, the stage of keratoconus, and the technique used can influence how stable your results remain over time.
Fortunately, for most people, keratoconus typically stabilizes in their 30s or 40s. However, in some cases, disease progression may continue into later years. Regular eye exams with an eye care professional are essential to monitor the condition.
However, several factors including age, the stage of keratoconus, and the technique used can influence how stable your results remain over time.
Fortunately, for most people, keratoconus typically stabilizes in their 30s or 40s. However, in some cases, disease progression may continue into later years. Regular eye exams with an eye care professional are essential to monitor the condition.