Dr. A.G.Ramesh

Eyelid spacer grafts are widely used by cosmetic surgeons for treating abnormalities in the lower eyelid. Spacer grafts are surgically used for tectonic support. Spacer grafts are scientific and the technology used helps in virally inactivating tissues, and also in the preservation and sterilization of tissues. They are immunologically and biologically safe. Eyelid spacer grafts are commonly used after undergoing a blepharoplasty surgery of the eyelids

When are eyelid spacer grafts used?
Many people have puffy and fat eyelids. Lower eyelid blepharoplasty is a cosmetic surgery, which effectively cures such disorders. The process involves removal of extra fat and skin from the lower eyelids and trimming of excess skin. Eyelid retraction is another condition pertaining to the eyelids, where the eyelids look like they have been pulled down. This condition arises from the removal of too much skin during blepharoplasty. Loose ligament support and excess scarring in the eyelids also lead to eyelid retraction. When this condition does not cease in the post- operational period, eyelid spacer grafts may be used.

Benefits of eyelid spacer grafts

• Eyelid spacer grafts are effective and helpful in a large number of conditions. The major benefit of spacer grafts is to repair lowered eye retraction after carrying out a blepharoplasty surgery.
• The eyelids are lengthened vertically as a result of using eyelid spacer grafts. This helps in better closure of the lids and also reduces eye irritation in patients.
• The eyelids are made to look more natural when they are in resting position. Spacer grafts are placed at the back of an eyelid. Thus, they are not visible from the outside.
• The recovery time after using eyelid spacer grafts is almost the same as most eyelid surgeries in general. The results are usually very effective.
• Eyelid space grafters are not the only ones used for repairing eyelid retraction, but these are certainly one of the most efficient ones. They give proper support to the lower eyelid, which is required for the proper closure of the eyelids and maintain proper eyelid positioning after a blepharoplasty surgery.
• Eyelid spacer grafts ensure permanent cure of eyelid retraction, and it is unlikely that this disorder will occur again after eyelid spacer grafts have been used.
• Eyelid spacer grafts have proven to be one of the best remedies for eyelid retraction, which many people experience after having a blepharoplasty surgery. There are different types of eyelid spacer grafts that will be recommended by your surgeon to correct eyelid retraction, depending on your case. If you wish to discuss about any specific problem, you can consult a cosmetic physician.

LASIK or Laser-Assisted in-situ Keratomileusis is a kind of eye surgery used for correcting certain vision problems as well as reducing or doing away with the need for corrective lenses or eyeglasses. It is a widely used refractive surgery that alters the shape of your cornea, the transparent tissue on the frontal portion of the eye. The fundamental aim of this surgery is to refract (bend) light rays in order to make them focus on the retina with improved precision, thus creating a sharper and clearer vision.

You can go for a LASIK eye surgery if you are experiencing any of these problems:

1. Myopia or Nearsightedness: It is a condition wherein you enjoy a clearer vision while looking at objects that are close to you. However, distant objects would appear blurred.
2. Hypermetropia or Farsightedness: Here, you may experience blurred vision while focusing on objects which are near to you but tend to enjoy better clarity in vision while viewing objects which are placed at a distance.
3. Astigmatism: It is a condition disrupting focus of both the distant and close (near) vision.

Learn About The Different Tyoes Of Lasik-

1. C-Lasik- C-Lasik or Customized Lasik is gaining ground as the latest and the most effective tool for restoring the quality of one’s vision. It uses a Wave front Guided customized ablation to render personalized treatment to each individual. While the surgical procedure stays the same, C-Lasik, also known as “Eagles’ Eye Vision” can provide the perfect shape to the eye surface, helping one to focus accurately. C-Lasik means that laser eye treatment is now unique to each eye. With C-Lasik, treatment is designed specifically to treat your individual vision errors. It improves the quality of your vision. Each C-Lasik assessment involves an extra diagnostic (screening) process to let the surgeon understand your vision better and select the most suitable treatment for you.
2. iLasik- iLasik is the first vision rectifying procedure that is fully customized, done with the use of a laser. It is used to rectify myopia till a measure of 10 diopters, hypermetropia up to +5 diopters and astigmatism, till -5 dioptersafter evaluation of cornea. iLASIK is different from normal LASIK surgery because it recognises that every eye is different. Using 3D mapping technology, the characteristics along with the uniqueness of each eye is recognised. Then using this information, a blueprint is developed so that the lasers can target the right areas. High-frequency pulses are used to create a corneal flap which is lifted so that another laser can repair your eyes. iLasik is the only procedure that has the technology to personalize treatment to individual vision needs. In fact, wavefront measurements are 25 times more precise than those taken with conventional methods used for eyeglasses and contacts.
3. Contoura Vision LASIK- Contoura Vision is the most advanced technology available for laser vision correction when it comes to accuracy and precision. This diagnostic technology is able to meticulously identify and record irregularities in the cornea’s curvature as well as its optics. During the procedure, this information is combined with the patient’s corrective eyewear prescription to dramatically improve vision for those suffering from nearsightedness (myopia) and astigmatism. While standard LASIK surgery has been helping individuals enhance correct visual refractive errors for many years, Contoura Vision takes the treatment a step further by offering even greater degrees of enhanced vision quality. Potential benefits of this technique can also include a reduced “glare” at night and even an increase in reading speed. If you wish to discuss about any specific problem, you can consult an ophthalmologist.

Styes are normally caused by a proliferation of natural bacterial flora within the eye. This causes an inflammatory reaction and is known to affect children more than adults. It resembles a pimple in exterior appearance and may grow both inside and outside of the eyelid. The symptoms of styes include redness, pain, swelling and tenderness. Though the styes do not lead to any kind of visual problems, they can cause significant discomfort.

What can cause styes?
Your eyelids have lots of tiny oil glands, which can become clogged by dead skin, dirt, or oil buildup. When a gland is blocked, bacteria can grow inside. This is what causes a stye to develop.

What are the symptoms of styes?
The most common symptom of styes includes swelling of the eyelid, redness, pain, tenderness, eyelid crusts and burning in the eye. It frequently leads to a yellowish-white discharge which becomes very uncomfortable and may also continue to drain out of the eye. Doctors recommend not to press or squeeze the styes as it may lead to further complications.

You should call your doctor if:

1. The child`s eye is swollen shut
2. He has a severe pain
3. He has a high-grade fever
4. Swelling lasts for more than 20 days
5. Pus continues to drain from the eye
6. His eyelid bleeds
7. He has problems with his vision

Homeopathic medicines for sty are safe and effective with no side effects. They play a vital role in improving the health and immune levels of the body. The recurrence of any symptoms in a body can be prevented by homeopathic medicines. These medicines are easy and comfortable for all age groups as they taste sweeter and give quicker results.

Styes tend to dry out on its own although applying homeopathic medication can aid in hastening the process of healing.

1. Amalki: This homeopathic medicine aids in repairing damaged tissue which in turn aids the stye infection to dry out. It is recommended to add a teaspoon of Amalki, which is available in most homeopathic outlets, into a glass of pure water. Then the mixture must be left on its own for the whole night for at least 10 to 12 hours. The mixture should then be filtered and used for washing the affected eye.
2. Heper Sulphur: Heper sulphur aids in speeding up the rupture of styes so that the pain is instantly relieved. This remedy is particularly suited for the styes that cause significantly red and swollen. It also aids in reducing the tenderness and swelling. In the case of some children, styes tend to secrete a liquid discharge and are extremely painful. Heper sulphur along with warm compress can be extremely helpful in relieving the pain. 
3. Pulsatilla: Some styes do not cause any pain but cause significant swelling and secrete a yellowish discharge. People affected with such type of styes can be significantly benefited by the use of homeopathic remedy called pulsatilla. It has also been found useful in preventing reoccurrence of styes.
4. Staphisagria: Staphisagria is for chronic or recurrent styes that appear mainly on the upper eyelid. The eyes are very dry and have rheum. The corner of the eye and the edges of the eyelids may be chapped and infected.

It is important to keep the eye clean and flush it with cold water. If the pain and related symptoms do not go away after 3 to 4 days, it is best to consult a doctor for further treatments.