Oculoplasty, or oculoplastic surgery, is a specialised field that combines ophthalmology with plastic and reconstructive surgery. The word "plastic" itself comes from the Greek plastikē, meaning "the art of moulding or reshaping" — and that is exactly what the discipline focuses on: the eyelids, the lacrimal (tear duct) drainage system, the orbit, and the delicate tissues surrounding the eye.
Every oculoplastic surgeon begins as a qualified ophthalmologist and then completes additional fellowship training, along with certification examinations such as FAICO in Oculoplasty (recognised by AIOS) or ASOPRS — ensuring that surgery around the eye is performed with an understanding of ocular tissue that general plastic surgery training does not cover.
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Oculoplasty is divided into distinct sub-specialities, each addressing a different part of the eye and surrounding structures.
Diagnosis and surgical treatment of the eyelids.
Care of the lacrimal apparatus and tear drainage system.
Surgery and management of conditions affecting the orbit.
Reconstruction after facial and orbital trauma.
Management of benign and malignant tumours of the eye region.
Oculo-facial aesthetic procedures, from Botox to face lifts.
Socket rehabilitation and fitting of prosthetic eyes.
Skin and tissue grafts, retraction repair, and congenital condition correction.
Reconstructive surgery techniques were being practised in India as early as 800 BC. Sushruta, an ancient Indian physician, made important contributions to plastic and cataract surgery as far back as the 6th century BC — making India one of the earliest homes of this science.
The surgical definition of "plastic" first appeared in the West in 1839, long before the word came to be associated with the engineering material of the same name.
Oculoplasty is treated as a distinct discipline because the tissues around the eye behave differently from tissue elsewhere on the body:
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