Ophthalmic Plastic and Reconstructive Surgery

Dr. Vidor is an ophthalmic plastic and reconstructive surgeon who can evaluate and treat disorders/diseases of the eyelids, eye socket, tear ducts, mid-face and eyebrows. He is fellowship trained to provide relief for a variety of conditions, including:

  • Eyelid Diseases and Disorders
  • Eyebrow Disorders & Brow Lift
  • Thyroid Eye Disease
  • Eyelid and Socket Cancer
  • Orbital Fracture Repair
  • Enucleation/Evisceration
  • Mohs Micrographic Surgery for Skin Cancer

Tearing Disorders and Tear Duct Diseases

Eyelid Diseases and Disorders

The eyelids are important to maintain good vision and overall eye health. The condition of the eyelids is also important to your overall appearance. Dr. Vidor is trained to correct eyelid disorders that have occurred due to age, medical disease of the nerves, thyroid disease, tumors, Bell’s palsy, trauma or even sun damage.

  • Blepharoplasty (eyelid surgery) can repair upper eyelids that have become droopy. The upper eyelid itself may sit too low (ptosis), there may be too much skin (dermatochalasis), or both.
  • Droopy lower lids can result in entropion (turning in) or ectropion (turning out) and lead to tearing, burning and red eye. When the eyelashes rub the eye (trichiasis), eye abrasions can result.
  • Upper or lower eyelids that are very tight or “wide eyed” (lid retraction) may also cause watering, pain and irritation.

Surgical correction for all of the above conditions can often improve these symptoms and rejuvenated your appearance. Surgery is usually performed on an outpatient basis with most patients returning to normal activity in about a week.

Eyebrow Disorders & Brow Lift

Eyebrows can begin to sag or “deflate” over time, causing impaired vision and a tired appearance. A surgical brow lift can help improve vision and appearance. A nonsurgical brow lift can sometimes be achieved by adding more volume to the area.

Tearing Disorders and Tear Duct Diseases

When tear ducts become blocked due to infection (dacryocystitis) or blockage (nasolacrimal duct obstruction) the eyes will begin to water excessively. Dr. Vidor can examine your tear ducts, which run from the corner of your eyelid through a bony duct and into the nose, and determine if there is any blockage causing the problem.

Adult tear blockage often requires surgery to prevent tearing and infection. Tear duct surgery redirects the flow of tears around the blockage so they drain properly (dacryocystorhinostomy). Tear duct surgery is usually performed as an outpatient procedure and takes about an hour. Most patients can return to work in about a week.

Children with this condition often benefit from having a “stent” placed in the tear duct, rather than tear duct surgery.

Thyroid Eye Disease

Thyroid disorders can lead to eye problems: thyroid eye disease, Graves’ disease, thyroid ophthalmolopathy or thyroid orbitopathy. These conditions can occur when thyroid levels are too high, low or even normal.

Thyroid eye disease affects the eyes, lids and eye sockets. Symptoms can include:

  • Bulging eyes (proptosis or exophthalmos)
  • Wide eyes (lid retraction)
  • Double vision (diplopia)
  • Swelling of the eyes and lids
  • Tearing
  • Irritation
  • Vision loss (in rare cases)

Thyroid eye disease can be treated with medicine and/or surgery. Corticosteroids can provide relief from certain symptoms. Surgery can be performed to decrease eye bulging (orbital decompression), correct double vision (strabismus surgery) and fix a wide eyed stare (lid retraction repair).

Eyelid and Socket Cancer

You may not realize that skin cancer can develop on the eyelids and even the eye socket. Because most eyelid cancer is caused by the sun, it is important to protect your eyes any time you are outdoors. Basal cell carcinoma is the most common eyelid cancer, but there are other types, including squamous cell carcinoma, melanoma and sebaceous cell carcinoma.

If you have any suspicious bumps or growths on your eyelids, you should have a biopsy done, especially if you have experienced any of these symptoms:

  • Recent growth
  • Bleeding
  • Eyelid notching
  • Eyelash loss

If you do have eyelid cancer, make sure you choose an eyelid surgeon who has extensive experience working with this very delicate area. The cancer should be completely removed and the eyelid reconstructed. Dr. Vidor is trained to perform the intricate steps of the following surgeries:

  • Tumor Removal
  • Eyelid Reconstruction
  • Socket/ Orbital Reconstruction
  • Mohs Micrographic Surgery

Orbital Fracture Repair

When the bones of the eye socket become broken, often due to trauma, this is called an orbital fracture. These “blow out fractures” can lead to:

  • Swelling around the eye
  • Double vision
  • Facial numbness
  • Pain
  • Eye that “sinks” into the socket

The extent of injuries can be determined through a detailed facial/eye examination and CT scans.

Surgery may be recommended if the orbital fracture is serious and causing vision issues. During surgery, a surgical incision is usually made on the inside of the eyelid so the broken orbital bones can be bridged by a synthetic plate and held together with micro plates. You may need to wait for any swelling to improve before undergoing surgery.

Enucleation/Evisceration

Eye removal is known as either an enucleation (removing the whole eye) or an evisceration (removing the inside contents of the eye). Special circumstances usually warrant eye removal, such as a malignant tumor in the eye or a blind eye that has intractable pain.

Eye removal surgery takes about an hour and is done under general anesthesia. A natural-looking prosthetic eye is placed into the socket a few weeks after surgery. The prosthetic eye is made to match the other eye. Pain relief for patients who were experiencing intractable pain prior to surgery is typically achieved within a few days after surgery.

Mohs Micrographic Surgery for Skin Cancer

Skin cancer is diagnosed in more than two million Americans every year. When it is localized on the face, skin cancer can be disfiguring.

Dr. Vidor is trained to perform a safe and effective surgical technique known as Mohs, a micrographic surgery for skin cancer developed by Dr. Frederick Mohs in the 1930s. This technique has shown significant cure rates for expunging Basal Cell Carcinoma and Squamous Cell Carcinoma.

Dr. Vidor tailors this surgery to excise cancer cells at the exact dimensions of the lesion. The size of the wound is reduced and as much healthy tissue is spared as possible, which leads to successful post-operative healing.

Dr. Vidor is one of a select group of surgeons who have completed a prestigious fellowship accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery. To meet Dr. Vidor and his team and discuss your ophthalmic plastic and reconstructive surgery options, please contact us to schedule a Consultation.