Oculoplastic surgery treats the eyelids, the tear drainage system and the bony socket around the eye. Droopy lids can block vision, and blocked tear ducts cause constant watering and infection. These problems affect comfort, driving and appearance.

Apex looks at function first, including lid position, tear drainage and protection of the eye surface. Surgery may restore function, relieve watering, protect the cornea, remove diseased tissue or improve appearance. When an eye cannot be saved, patients and families receive counselling and support for a prosthesis.

Risks include bleeding, infection, dry eye, uneven results, scarring and the possibility that a new tear passage closes again.

Apex provides eyelid, tear duct and orbital surgery for patients assessed as suitable:

• Blepharoplasty: Apex removes excess eyelid skin and fat that blocks vision or causes heaviness.
• Ptosis Repair: Apex raises a drooping upper eyelid by tightening or supporting the lifting muscle.
• Dacryocystorhinostomy (DCR): Apex creates a new drainage path from the tear sac into the nose for a blocked tear duct.
• Tarsorrhaphy: Apex partially joins the eyelids to protect the cornea when the lids cannot close properly.
• Enucleation: Apex removes the eyeball, with an orbital implant, for a painful blind eye, a tumour or severe injury.
• Evisceration: Apex removes the contents of the eye while keeping the outer wall, for severe infection or a painful blind eye.