Robert P. Green Jr. M.D. M.A. FACS

Robert P. Green Jr. M.D. M.A. FACS

8002 West Ave. Castle Hills San Antonio, TX, 78213

Phone: (210) 348-8788 Fax: (210) 348-8768

Ocular Plastic Surgery

Ocular Plastic Surgery

Oculoplastics, or oculoplastic surgery, and includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face.[1] It also deals with the reconstruction of the eye and associated structures.
Contents

* 1 Training
* 2 Oculoplastic procedures
o 2.1 Eyelid surgery
o 2.2 Surgery involving the lacrimal apparatus
o 2.3 Eye removal
o 2.4 Orbital Reconstruction
o 2.5 Other
* 3 See also
* 4 References
* 5 External linksociated structures.
Contents

Training

Oculoplastic surgeons (ophthalmic plastic surgeons) are ophthalmologists (eye surgeons) who complete 1–2 years of additional fellowship training following their ophthalmology residency. Other types of surgeons may be trained in oculoplastic procedures, including some Plastic surgeons, some Oral and maxillofacial surgeons, and some Otolaryngologists.
[edit] Oculoplastic procedures

Oculoplastic surgeons perform procedures such as the repair of droopy eyelids (blepharoplasty), repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes, eyelid reconstruction and facial rejuvenation procedures including laser skin resurfacing, eye lifts, brow lifts, and facelifts.
[edit] Eyelid surgery

Oculoplastic surgeon Kami Parsa, MD performing revisional eyelid surgery.

Entropion, ectropion, ptosis, and eyelid tumors are commonly treated by various forms of eyelid surgery.[2]

* Blepharoplasty (eyelift) is plastic surgery of the eyelids to remove excessive skin or subcutaneous fat.[3]
o Asian blepharoplasty
* Ptosis repair for droopy eyelid.
* Ectropion repair[1]
* Entropion repair
* Canthal resection
* A canthectomy is the surgical removal of tissue at the junction of the upper and lower eyelids.[4]
* Cantholysis is the surgical division of the canthus.[4]
* Canthopexy
* A canthoplasty is plastic surgery at the canthus.[4]
* A canthorrhaphy is suturing of the outer canthus to shorten the palpebral fissure.[4]
* A canthotomy is the surgical division of the canthus, usually the outer canthus.[4]
o A lateral canthotomy is the surgical division of the outer canthus.
* Epicanthoplasty
* Tarsorrhaphy is a procedure in which the eyelids are partially sewn together to narrow the opening (i.e. palpebral fissure).
* Removal of eyelid tumors (such as basal cell carcinoma or squamous cell carcinoma)

[edit] Surgery involving the lacrimal apparatus

ning following their ophthalmology residency. Other types of surgeons may be trained in oculoplastic procedures, including some Plastic surgeons, some Oral and maxillofacial surgeons, and some Otolaryngologists.

[edit] Oculoplastic procedures

Oculoplastic surgeons perform procedures such as the repair of droopy eyelids (blepharoplasty), repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes, eyelid reconstruction and facial rejuvenation procedures including laser skin resurfacing, eye lifts, brow lifts, and facelifts.
[edit] Eyelid surgery

Oculoplastic surgeon Kami Parsa, MD performing revisional eyelid surgery.

Entropion, ectropion, ptosis, and eyelid tumors are commonly treated by various forms of eyelid surgery.[2]

*
o DCR (Dacryocystorhinostomy) for Tearing
o Canaliculodacryocystostomy is a surgical correction for a congenitally blocked tear duct in which the closed segment is excised and the open end is joined to the lacrimal sac.[4][5]
o Canaliculotomy involves slitting of the lacrimal punctum and canaliculus for the relief of epiphora[4]
o A dacryoadenectomy is the surgical removal of a lacrimal gland.[4]
o A dacryocystectomy is the surgical removal of a part of the lacrimal sac.[4]
o A dacryocystorhinostomy (DCR) or dacryocystorhinotomy is a procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.[4][6]
o A dacryocystostomy is an incision into the lacrimal sac, usually to promote drainage.[4]
o A dacryocystotomy is an incision into the lacrimal sac.[4]

[edit] Eye removal

*
o An enucleation is the removal of the eye leaving the eye muscles and remaining orbital contents intact.[7]
o An evisceration is the removal of the eye’s contents, leaving the scleral shell intact. Usually performed to reduce pain in a blind eye.[8]
o An exenteration is the removal of the entire orbital contents, including the eye, extraocular muscles, fat, and connective tissues; usually for malignant orbital tumors.[

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Ophthalmologist

  • Ophthalmic Surgeon
  • Cataract and Intraocular Lens
  • Glaucoma
  • Oculoplastics
  • Flight Surgeon
  • Botox: functional and cosmetic
  • Aeromedical ophthalmology

Robert P. Green, Jr., has had a long and interesting opthalmology career. He retired from the U.S. Air Force after serving nearly 23 years of active duty. During these 23 years, he was an intercontinental ballistic missile crew commander for 4 years; in medical school for 4 years; in internship 1 year; completed an opthalmology residency in 3 years; was the chief of opthalmology at Andrews AFB for 3 years; attended Flight Medicine Training. At the time of his retirement, Colonel Green was Chief of the Ophthalmology Branch for the Armstrong Laboratory at Brooks Air Force Base.  At retirement from the USAF, Colonel Green received the Legion of Merit.  He then spent 31 years with Ophthalmology Associates of San Antonio before joining Castle Hills Eye Specialists

Cataract Surgery

Cataract surgery is the removal of the natural lens of the eye (also called “crystalline lens”) that has developed an opacification, which is referred to as a cataract

Glaucoma

Glaucoma is a disease in which the optic nerve is damaged, leading to progressive, irreversible loss of vision.

Cataract Surgery

Oculoplastics, or oculoplastic surgery, and includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face.[1]