Ptosis Repair

Overview

Ptosis refers to the drooping of the upper eyelid...

Why Choose Dr. Ritesh Verma

• Fellowship-trained in Oculoplastics
• Over 2000 successful eyelid surgeries
• Minimal scar, cosmetically pleasing techniques
• Excellent post-operative care and patient education

Symptoms & When to Seek Help

• Drooping eyelid(s)
• Blocked or reduced vision
• Eye strain or fatigue
• Asymmetry of the eyes

Procedure Details

Typically performed under local anesthesia...

Recovery Timeline

• Day 1–2: Mild swelling and bruising
• Day 5–7: Suture removal if non-absorbable
• Week 2–3: Resume normal activities
• 1 Month: Final cosmetic outcome visible

Risks & Complications

• Bruising or swelling
• Under or overcorrection
• Rare chance of infection
• Possible need for revision surgery

“Dr. Ritesh explained everything clearly. The surgery was smooth and my vision is much better now” – Mrs. K.B., Ludhiana

Xanthelasma Removal

Overview

Xanthelasma are yellowish cholesterol deposits commonly found on or around the eyelids. While harmless, they can be cosmetically displeasing. Dr. Ritesh Verma offers precise excision or laser removal techniques.

Why Choose Dr. Ritesh Verma

• Minimally invasive cosmetic removal
• Excellent aesthetic results
• Detailed pre-operative counseling
• Post-op scar management support

Symptoms & When to Seek Help

• Yellowish plaques near inner eyelids
• Cosmetic concerns
• Cholesterol imbalance (may co-exist)

Procedure Details

Outpatient procedure under local anesthesia. Incision or laser removal.
Duration: 20–30 minutes. Topical antibiotic applied post-op.

Recovery Timeline

• Day 1–2: Mild redness and swelling
• Day 5: Healing with minimal scarring
• Week 1–2: Resumption of makeup application if needed

Risks & Complications

• Temporary redness
• Minimal scarring
• Rare recurrence

Patient Testimonial

“My eyelids look clear and smooth now. Thank you, Dr. Ritesh!”
– Mr. R.S., Punjab

DCR (Blocked Tear Duct Surgery)

Overview

Dacryocystorhinostomy (DCR) is a procedure done to bypass an obstruction in the tear duct to restore normal tear drainage. Dr. Ritesh uses external or endoscopic approaches based on the case.

Why Choose Dr. Ritesh Verma

• Expert in lacrimal surgeries
• Lacrimal intubation expertise
• Experience with post-traumatic and recurrent cases

Symptoms & When to Seek Help

• Persistent tearing
• Discharge or infection near inner eye
• Swelling over the tear sac area

Procedure Details

External DCR under local or general anesthesia.
Duration: 45–60 minutes. Silicone tube may be placed temporarily.

Recovery Timeline

• Day 1–2: Mild swelling at incision site
• Week 1: Tube in place, minimal activity
• Week 4–6: Tube removal and reassessment

Risks & Complications

• Bleeding
• Scarring
• Rare chance of re-blockage

Patient Testimonial

“No more watery eyes! The surgery has improved my comfort immensely.”
– Ms. T.C., Ludhiana

Cataract Surgery

Cataract surgery is one of the most commonly performed procedures worldwide and is highly effective in restoring clear vision. A cataract is the clouding of the natural lens of the eye, which leads to progressive vision loss. The surgery involves the removal of this cloudy lens and its replacement with an artificial intraocular lens (IOL).

Key Highlights

• Technique: Phacoemulsification using micro-incisions for faster recovery
• IOL Options: Monofocal, Multifocal, and Toric lenses tailored to the patient’s needs
• Anesthesia: Typically performed under topical or local anesthesia
• Duration: Approximately 15–20 minutes per eye

Why Choose Dr. Ritesh Verma

• Experienced in handling complex cases with comorbidities
• Premium IOL counseling and selection
• Emphasis on sterile technique and postoperative follow-up

Recovery

Patients generally notice improvement in vision within 24–48 hours. Full stabilization occurs in 2–4 weeks.

Orbital Tumor Evaluation

Orbital tumors can present with symptoms such as proptosis (eye bulging), double vision, or vision loss. Early detection and accurate diagnosis are essential. Tumors may be benign (like dermoid cysts) or malignant (like lymphoma).

Evaluation Includes

• Detailed ocular and systemic history
• Visual and motility assessment
• Imaging: CT or MRI to assess size, location, and effect on orbital structures
• Biopsy (when necessary)

Dr. Ritesh’s Approach

• Multidisciplinary evaluation in coordination with radiology and oncology
• Pre-operative counseling
• Postoperative care and long-term monitoring

Entropion / Ectropion Repair

Entropion is the inward turning of the eyelid margin, while ectropion is the outward turning. Both can cause discomfort, tearing, and exposure-related complications.

Causes

• Age-related lid laxity
• Facial nerve palsy
• Post-traumatic or post-surgical changes

Surgical Techniques

• Lateral tarsal strip procedure
• Full-thickness lid tightening
• Canthoplasty or wedge excision

Expected Outcomes

• Restoration of normal lid position
• Reduced tearing and irritation
• Improved cosmetic appearance

Post-op Care

Mild swelling and bruising subside in 1–2 weeks. Sutures are removed around day 7.

Congenital Disorders

Dr. Ritesh Verma specializes in diagnosing and managing congenital eyelid and lacrimal disorders in children.

Common Disorders

• Congenital Ptosis: Risk of amblyopia (lazy eye), requires early surgical correction
• Congenital Nasolacrimal Duct Obstruction: Treated by probing or DCR
• Epiblepharon: Extra fold of skin causing lashes to turn inward

Management

• Comprehensive examination under anesthesia (if needed)
• Coordination with pediatricians and anesthesiologists
• Minimally invasive techniques when appropriate

Parental Guidance

Parents receive detailed pre- and post-surgical instructions and follow-up plans.

Lid Reconstruction After Trauma or Tumor

Eyelid injuries or tumor resections require precise reconstruction to restore function and aesthetics.

Types of Defects

• Partial thickness (skin only)
• Full thickness (involving tarsus and conjunctiva)

Reconstruction Options

• Primary closure for small defects
• Tenzel flap, Mustarde flap, or Hughes flap for larger defects
• Skin grafts and composite grafts

Goals

• Protect ocular surface
• Maintain eyelid mobility and appearance
• Achieve symmetry and minimal scarring

Ocular Oncology Consultations

Dr. Ritesh Verma provides comprehensive care for ocular tumors affecting eyelid, conjunctiva, orbit, and intraocular structures.

Common Conditions

• Sebaceous gland carcinoma
• Conjunctival melanoma
• Retinoblastoma (pediatric referrals)
• Choroidal hemangiomas and nevi

Diagnostic Tools

• Slit lamp and fundus photography
• High-resolution imaging (B-scan, OCT, MRI)
• Histopathology through excisional or incisional biopsy

Treatment Planning

• Multidisciplinary tumor board discussions
• Surgery, cryotherapy, topical chemotherapy, or radiation based on diagnosis

Follow-up

• Long-term monitoring to detect recurrence or metastasis
• Genetic counseling (if applicable)