One of the commonest conditions we treat, ptosis refers to the height of the upper eyelid drooping, leading to a smaller eye on one or both sides. There are several causes for eyelid ptosis, commonest one being the gradual stretching and wear-and-tear of the muscle which lifts the eyelid. A long history of contact lens …
Due to its complex function, the skin around our eyes is full of specialised glands all of which can and do occasionally block, get infected or (thankfully) much more rarely develop into cancers. How are eyelid lumps and growths treated? The first step in the management of any eyelid growth is its assessment by a …
Malignant or pre-malignant skin tumours are, across the board, not common. However uncommon though and for a variety of reasons, the eyelid is where they are will very often occur. The skin around the eye is very thin and vulnerable to the sun’s radiation; it is also the very area where sun-protection cream is often …
Injuries to the eye, eyelid and eye socket require prompt assessment and often surgical repair. Dr Koutroumanos has an extensive experience in trauma reconstruction with his team having been responsible for the management of sports related eye injuries in several Premier League players in the past, with excellent outcomes, and continues to look after a …
In order for the eyelid to function properly as the wiper of the eye and for it to protect the eye’s surface from exposure and subsequent dryness, it is vital that it maintains an extremely precise position and movement across the eye’s surface. This position relies on a complex mechanical system of muscles and ligaments …
Thyroid eye disease, previous unsuccessful eyelid surgery, trauma or sometimes simply the effect of ageing and gravity on the cheek area of the face can all result in retraction of the eyelid. This can cause a range of symptoms, including dry eyes, tearing or a disagreeable loss of symmetry. What is the treatment for eyelid …
Paralysis or loss of strength (motor function) of the muscles of facial expression can result in an acute inability of eye closure and blinking. This can cause severe disability and when inadequately managed, can lead to threatening of vision. How is facial paralysis treated? Acute management involves close clinical monitoring, an intensive regime of medication …
Eyelid twitching is a very common phenomenon, caused by a variety of mechanisms and not all of these ought to be a concern. In the vast majority of cases, eyelid twitching is a mild temporary experience, randomly caused or due to irritation, blepharitis or sometimes tiredness. When this is the case, we refer to it …
Dr Nick Koutroumanos is a London based Ophthalmic and Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic and reconstructive eyelid, orbital and lacrimal surgery for both adults and children.
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