After

Before

performed by Dr. Linder

Before Enucleation

Cancer Removed/Margins
are Cleared

After Eyelid

Reconstruction

Other Surgeries

Entropion:  Condition in which the lower eyelid or lashes turn in toward the eye. This condition may be caused by age, inflammation, injury, scarring, tumor, or a congenital defect.

After Enucleation
with Prosthetic Eye

Enucleation or Evisceration:


The loss of an eye due to injury, trauma, or other cause does not have to be unpleasant and upsetting. An oculoplastic surgeon will remove part or all of the eye (enucleation or evisceration). A spherical implant will be placed to give the socket shape. Six weeks after surgery, a prosthetic eye will be made. They can look very natural, and in most cases, movement of the prosthesis is good. Today, most prostheses are made of acrylic material. Many people have great success and wear artificial eyes for many years without side effects.

Both of these conditions can cause chronic eye irritation, which can lead to excessive tearing, crusting, infection, corneal damage, and impaired vision. Recurrence of these conditions is possible if not treated appropriately. Both conditions may be corrected surgically by tightening the eyelid and its attachments. This procedure restores integrity of the eyelid. These procedures are usually performed as an outpatient procedure.  Some swelling, bruising, and soreness can be expected for one week.

Basal Cell Carcinoma
Left Lower Lid

After Eyelid has Healed

Ectropion:  Condition in which the eyelids turn outward. This condition may be caused by age, Bell’s palsy, injury, or tumor.

Skin Cancer on the Eyelids or Around the Eyes:

Eyelid skin cancers occur most frequently on the lower eyelid, but may be found on the corners of the eye, eyebrow skin, or eyelid margins. These usually appear as painless or elevated nodules and are typically caused by excessive exposure to sunlight. One may notice missing eyelashes, skin ulcers, bleeding, crusting, and possible distortion of the normal skin structure.

There are several types of skin cancer. The most common types are basal cell carcinoma and squamous cell carcinoma. Both enlarge locally and usually don’t spread to the distant body parts, but they may affect adjacent structures. Early detection will decrease the amount of tissue removed and decrease the potential scar. Two other forms of skin cancer are sebaceous gland carcinoma and malignant melanoma however these are much less common. These types of cancer may spread to other parts of the body. Due to the threat of early spreading, these types of cancer do require prompt and aggressive treatment.


Some excisions of skin cancer around the eyes can be done in the office. If the growth is located close to the lid margin, or the growth is large, these procedures will usually be done in an outpatient facility where the margins can be checked instantly by the pathologist to make sure the cancer was completely excised.

After

Before