Orbital/Facial Surgery

Orbital Facial Surgery | Oculoplastic Surgeon | Palm Desert | Palm Springs

Dr. Hui also treats a variety of orbital conditions, including blind painful eyes, thyroid eye disease, orbital tumors (benign and malignant) and orbital inflammation. She also has extensive experience in the management of orbital and facial/eyelid trauma secondary to her 8 years of involvement on the trauma team at the Bascom Palmer Eye Institute (www.bascompalmer.org).

Blind painful eyes

A blind painful eye may significantly affect a patient’s quality of life.  Treatment options include medical and surgical therapies.  For those patients whose pain and/or appearance are not adequately addressed with non-surgical treatment, removal of the eye (enucleation/evisceration) may be indicated.  An orbital implant is placed at the time of surgery to replace the volume that is lost.  Approximately 6 weeks after the procedure, a custom-made ocular prosthesis is designed by an ocularist.  This prosthesis is made to match the appearance of the remaining eye as closely as possible.

Thyroid Eye Disease

Graves’ Ophthalmopathy is a thyroid-related disorder that causes inflammation of the eye muscles, which enlarge within the eye socket. As a result, the eyes bulge and/or stare; the eyelids retract and often cannot close; and the eye’s surface dries and becomes uncomfortable. The swollen muscles can exert pressure on the optic nerve and threaten vision loss, the most serious consequence of Graves’ disease.

The mainstay of treatment includes addressing the underlying hormonal condition itself.  In addition, a variety of treatments and procedures are available to decrease the ocular symptoms.  When medical therapies fail to reduce muscle swelling, an orbital decompression may be performed to create more space around the eyes and to decrease the amount of bulging in patients who have vision threatening disease.  Pressure on the optic nerve is relieved by removing part of the bony wall and floor of the eye’s socket, creating additional space for swollen muscles.  Additionally, eyelid position may be improved surgically to help reduce dryness symptoms and improve appearance.  This involves lowering the upper eyelids and raising the lower eyelids (by adding tissue taken from the roof of the mouth — a hard palate graft), and placing them at a cosmetically appropriate level.

Orbital Tumors

The orbit is the space around the eye.  Tumors, both benign and malignant, may affect this area.  Treatment options range from observation to surgical removal.  Dr. Hui will evaluate your particular case and help you choose the treatment most appropriate for your condition.

Orbital Inflammation

The orbit may also be affected by inflammatory conditions.  The inflammation may be secondary to particular causes, or be isolated to the orbit.  A thorough examination and work up are needed to pinpoint the exact cause.  Dr. Hui will guide you through the process and help develop a treatment plan customized for your needs.

Contact Dr. Hui at 760.610.2677 for more information on orbital and facial evaluation and management.