Oculoplastic Surgery

While most prosthetic eyes provide excellent aesthetic and functional outcomes, some patients experience complications due to socket distortion from scarring or natural recession. These complex cases require a collaborative approach between prosthetists and oculoplastic surgeons. Surgical interventions, while offering greater potential for improvement, must often work within pre-existing anatomical limitations. Optimal results are achieved through a unified strategy, where surgical and prosthetic expertise complement each other.

The New Zealand Prosthetic Eye Service uniquely delivers this integrated approach. By combining oculoplastic surgery for socket and eyelid reconstruction, optometry for comprehensive eye health, and specialized ocular prosthetics for fabrication and fitting, we ensure patients receive the highest standard of care for even the most challenging cases.

It is not vanity that motivates anophthalmic patients to seek cosmetic surgery but a simple desire to blend naturally into the community – just like the rest of us.

Different Types of Surgery are available to learn more look at the links below

Diagnosis	Treatment
Ectropion and entropion	Lower lid tightening
Ptosis	Upper lid repositioning
Dermatochalasis and steatoblepharon	Upper lid blepharoplasty with fat sculpting
Deepened superior sulcus	Upper lid fat redraping, hyaluronic acid fillers
Trichiasis and distichiasis	Surgitron electrolysis and lash excision
Nasolacrimal duct obstruction	Dacryocystorhinostomy and intubation
Lacrimal punctal stenosis	Punctoplasty
Dry eye	Punctal plugs and punctal cautery
Eyelid lesions	Biopsy (shave and excision)
Socket contraction	Socket reconstruction +/- mucous membrane or hard palate grafts
Orbital implant issues (extrusion, insufficient volume)	Orbital implant removal or exchange
Enophthalmos/Loss of orbital volume	Orbital floor implant placement, hyaluronic acid filler
Blepharospasm and hemifacial spasm	Botulinum toxin injections