Oculoplastic Conditions

a) Ayelid lumps and bumps (styes, skin tags, warts)

A. Chalazion or meibomian cyst

What is a chalazion?

A chalazion is a cyst in the eyelid which occurs due to inflammation in the glands at the base of the eyelashes and is also called a stye. This is caused due to sensitivity to common bacteria found on the skin.

What are the symptoms of a chalazion?

Chalazions appear as lumps which can be red, inflamed and painful. These can settle to leave a visible lump which may not be painful but can appear unsightly.

What are the treatment options?

There are several options for treating these including warm compress, massaging the eyelids and using a cotton bud to gently clean the edge of the lower lid. If the chalazion persists, it can be treated under a local anaesthetic with a procedure involving an incision and drainage.

A chalazion is a cyst in the eyelid which occurs due to inflammation in the glands at the base of the eyelashes and is also called a stye. Treatment options include warm compress, massaging the eyelids and using a cotton bud to gently clean the edge of the lower lid. If the chalazion persists, it can be treated under a local anaesthetic with a procedure involving an incision and drainage.

Our Price List

New patient appointment £320
(any surgical treatment or injection will be in addition to consultation fee)
Follow up appointment £280
Surgery (up to 3 chalazia) £350

B) Papillomata (skin tags)

Skin tags are very common and are not dangerous and. They are made up of loosely arranged collagen fibres and blood vessels surrounded by a thickened or thinned out superficial layers of the skin or epidermis. They are usually smooth and soft and hang off the skin 

Do skin tags have to be removed?

Skin tags usually don’t cause any pain but can however, they can become caught in clothing, jewellery or other objects and may end up bleeding. 

How are skin tags removed?

Skin tags removal is a safe and simple procedure. The removal of skin tags can be straightforward and can be usually done in the clinic under a local anaesthetic by surgical excision. They can also be removed by cryotherapy treatment which freezes the skin tags allowing it to be removed under a local anaesthetic. 

A skin tag is usually smooth and hangs off the skin. It is harmless and can be easily removed under a local anaesthetic. 

Get in touch today to find out how the team at VISIO Clinic can help. 

Our Price List

New patient appointment £320
(any surgical treatment or injection will be in addition to consultation fee)
Follow up appointment £280
Surgery (up to 3 skin tags) £350

C. Warts

Warts are caused by the Human Papilloma Virus (HPV) which usually affects the different parts of the body and commonly the extremities including fingers and toes. Warts tend to be rougher with an irregular surface and are usually slightly raised or flat.  

Do warts have to be removed?

Warts usually don’t cause any pain but can however, they can become caught in clothing, jewellery or other objects and may end up bleeding. 

How are warts removed?

Wart removal is a safe and simple procedure. The removal of warts can be straightforward and can be usually done in the clinic under a local anaesthetic. They can also be removed by cryotherapy treatment which freezes the wart allowing it to be removed under a local anaesthetic. 

A wart is usually slightly raised or flat. It is harmless and can be easily removed under a local anaesthetic. 

Get in touch today to find out how the team at VISIO Clinic can help. 

Our Price List

New patient appointment £320
(any surgical treatment or injection will be in addition to consultation fee)
Follow up appointment £280
Surgery (up to 3 warts) £350

b) Epiphora or watery eye

What is epiphora?

Watering eyes is also known as epiphora and can be caused by excessive tear production, obstruction to the outflow of tears due to narrowing of either the opening of the drainage passage (lacrimal punctum) or the passage (lacrimal canaliculus) that drains the tears from the punctum into a small sac (lacrimal sac) in the upper part of the nose which drains into the passage in the nose (nasolacrimal duct) in the nose which in turn drains into the back of the throat.

What are the symptoms?

The symptoms of watering eyes can vary depending on the cause, the commonest being an excessive production of tears which are not able to drain adequately into the nasolacrimal duct or drainage system of the eye. This causes tears to overflow and run down the face. Other symptoms may include increased sensitivity to light, redness, and eye soreness. 

What are the treatment options?

If the opening (lacrimal punctum) is narrow causing a tear outflow obstruction, a surgical procedure to widen the lacrimal punctum can be effective in improving the watery eye by facilitating the flow of the tears into the lacrimal passages. It is called lacrimal punctoplasty.

Dacryocystorhinostomy is the surgical option to correct the narrowing or obstruction of the tear duct passages. The endoscopic dacryocystorhinostomy involves creating a small opening via the nose from the lacrimal sac into the nose above the blockage. If the canaliculi are severely blocked then insertion of a Lester Jones permanent bypass tube may be required.  

What are the risks for dacryocystorhinostomy?

What can I expect following treatment?

Watering eyes is also known as epiphora and can be caused by excessive tear production, obstruction to the outflow of tears. This causes tears to overflow and run down the face Dacryocystorhinostomy is the surgical option to correct the narrowing or obstruction of the tear duct passages.

Our Price List

New consultation £320
Follow up £280
Punctoplasty £550
Dacryocystorhinostomy – tear duct drainage surgery £3500

c) Blepharoplasty or excess eyelid skin removal

What is blepharoplasty?

Blepharoplasty is a surgical procedure to remove excess skin from the upper and or lower eyelid. It is commonly known as eyelid reduction or lift when it involves the upper eyelid excess skin removal and eye bag removal when it involves the lower eyelid excess skin removal.

What are the symptoms?

The ageing process makes the skin lose its elasticity and combined with the loss of muscle tone of the eyelid region and increased deposition of fat in the eye bag region,  the eyelid gives a tired and worn-out appearance.

What are the treatment options?

Blepharoplasty treatment is an effective procedure to improve your appearance by rejuvenating the eye area by giving it a firmer, fresher, and more youthful appearance.

What are the risks for blepharoplasty surgery?

After blepharoplasty, you can expect some common symptoms that normally go away after a few days. These include:

  • Bruising
  • Swelling
  • Bleeding (rare)
  • Infection (rare)

What can I expect following treatment?

There is usually mild discomfort and eyelid swelling after the procedure. The following after care will help ensure that the eyelids remain comfortable and heal well following your surgery:

  • Cold packs may be used to reduce swelling
  • Painkillers such as Paracetamol can be used to relieve pain or discomfort
  • Avoid touching your eyes when cleaning your face
  • Keep the affected areas dry for 7–10 days
  • Avoid swimming and applying any eye makeup for two weeks

 

The ageing process makes the skin lose its elasticity giving the eyelid a tired and worn-out appearance. Blepharoplasty treatment is an effective procedure to improve your appearance by rejuvenating the eye area by giving it a firmer, fresher, and more youthful appearance.

Our Price List

New consultation £320
Follow up £280
Blepharoplasty upper eyelid
One eye £3500
Both eyes £4500
Blepharoplasty lower eyelid
Both eyes £5500
Blepharoplasty upper and lower eyelid
Both eyes £6500

d) Ptosis or droopy eyelids

What is ptosis or droopy eyelids?

Ptosis or droopy eyelids is the term used to describe a lower eyelid position such that it may appear lower than the normal position on the front of the eye. It can be present in one eye (unilateral) or both eyes (bilateral).

What causes ptosis?

Ptosis can occur due to the following factors:

1. Congenital ptosis

Congenital ptosis is present from birth and may be inherited. It is usually due to the muscle in the eyelid failing to develop properly and the function of this muscle, called the levator, is to elevate or lift the eyelid.

2. Acquired ptosis

Acquired becomes apparent later in life and may occur due to various factors which include:

  • Aponeurotic: when the levator muscle becomes stretched and loses its tone elasticity. This can be caused by ageing as well as excessive rubbing of the upper eyelids over a long period of time
  • Mechanical: results from the eyelid and its levator muscle being constantly affected by factors such as the use of rigid gas permeable lenses over prolonged period of time or lesions in the eyelid causing the eyelid to droop due the mechanical effect.
  • Traumatic: occurs due to an injury to the eyelid either incidentally or can caused by the use of Botox injections rarely as a side effect. This affects the function of the levator muscle causing the eyelid to droop.
  • Neurogenic: caused by conditions which affect the nerves controlling the movement of the levator muscle and include third nerve palsy or Horner’s syndrome
  • Myogenic: caused by a weakening of the levator muscle as a result of a condition affecting the muscles involved in lifting the lid and occurs as a result of weakened muscle. This can be due to conditions such as muscular dystrophy or myasthenia gravis

What are the symptoms?

Ptosis or droopy eyelids can block the vision is severe cases and can cause the individual to lift their chin constantly to be able to see properly.

Ptosis results in a cosmetic change which may be a cause for distress or embarrassment.

What are the treatment options?

The treatment typically involves the shortening of the muscles which raise the eyelid. The shortened muscle is reattached to the eyelid at a higher position to enable lifting of the eyelid using sutures or stitches which are placed beneath the skin so that they remain hidden.

Ptosis surgery is usually performed under a local anaesthetic when you are awake. Our highly trained Oculoplastic surgeons at VISIO Health are best placed to perform this procedure that requires great skill to achieve the results you desire.

What are the risks for ptosis surgery?

After ptosis surgery, you can expect some common symptoms that normally go away after a few days. These include:

  • Bruising
  • Swelling
  • Slight blurring of vision
  • Dry eyes giving rise to redness, itching and grittiness
  • Bleeding (rare)
  • Infection (rare)
  • eyelid having an irregular curve or the upper lid fold being uneven

What can I expect following treatment?

There is usually mild discomfort and eyelid swelling after the procedure. The following after care will help ensure that the eyelids remain comfortable and heal well following your surgery:

  • Cold packs may be used to reduce swelling.
  • Painkillers such as Paracetamol can be used to relieve pain or discomfort.
  • Avoid touching your eyes when cleaning your face.
  • Keep the affected areas dry for 7–10 days.
  • Avoid swimming and applying any eye makeup for two weeks
  • Sutures will either dissolve or be removed in 1-2 weeks.

 

Ptosis or droopy eyelids is the term used to describe a lower eyelid position such that it may appear lower than the normal position on the front of the eye. Ptosis results in a cosmetic change which may be a cause for distress or embarrassment Our highly trained Oculoplastic surgeons at VISIO Health are best placed to perform this procedure that requires great skill to achieve the results you desire.

Our Price List

New consultation £320
Follow up £280
Ptosis (droopy eyelid) correction
One eye £3500
Both eyes £4500

e) Entropion and ectropion

What is entropion and ectropion?

Entropion is a condition when your eyelids are turning inward and ectropion is when the eyelids are turning outward. This is due to eyelid laxity as a result of ageing or skin scarring pulling the eyelid margin inwards in entropion and outward in ectropion.

What are the symptoms?

Entropion and ectropion both result in constant rubbing of the eyelashes on the front surface of the eye leading to complications such as corneal damage and vision loss. It can also cause irritation, discomfort, redness, dryness, grittiness or a foreign body sensation.

What are the treatment options?

The surgery rectifies the position of both upper and lower eyelid thereby improving the function of the eyelid and relief from discomfort caused by these conditions.

What are the risks for entropion or ectropion correction?

After entropion or ectropion correction, you can expect some common symptoms that normally go away after a few days. These include:

  • Bruising
  • Swelling
  • Bleeding (rare)
  • Infection (rare)

What can I expect following treatment?

There is usually mild discomfort and eyelid swelling after the procedure. The following after care will help ensure that the eyelids remain comfortable and heal well following your surgery:

  • Cold packs may be used to reduce swelling
  • Painkillers such as Paracetamol can be used to relieve pain or discomfort
  • Avoid touching your eyes when cleaning your face
  • Keep the affected areas dry for 7–10 days
  • Avoid swimming and applying any eye makeup for two weeks

 

Entropion is a condition when your eyelids are turning inward and ectropion is when the eyelids are turning outward and which occurs due to eyelid laxity as a result of ageing or skin scarring. The surgery rectifies the position of both upper and lower eyelid thereby improving the function of the eyelid and relief from discomfort caused by these conditions.

Our Price List

New consultation £320
Follow up £280
Entropion or ectropion correction
One eye £2500
Both eyes £3500

What our patients say

Book an appointment

Booking an appointment with Ms Ranjit Sandhu is the first step towards managing uveitis and protecting your vision. We offer convenient and flexible appointment scheduling to accommodate your needs.

FAQs on Uveitis Treatment

Uveitis is an inflammation of the uvea, the middle layer of the eye, which can cause redness, pain, light sensitivity, and vision loss. It can affect one or both eyes and can occur at any age.
Symptoms of uveitis include eye redness, pain, blurred vision, light sensitivity, and floaters. If you experience any of these symptoms, seeing an ophthalmologist for a thorough eye examination and diagnosis is essential.

 Intravitreal implants like Ozurdex and Iluvien provide sustained release of corticosteroids directly into the eye, offering long-term control of inflammation. This method ensures a steady therapeutic effect, reducing the need for frequent eye drops or injections.

Recovery time varies depending on the severity of the uveitis and the treatment used. With prompt and appropriate treatment, many patients experience significant improvement in symptoms within a few weeks. Chronic or severe cases may require ongoing treatment and monitoring to maintain control of inflammation. Your ophthalmologist will provide detailed care instructions tailored to your specific condition.