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Oculoplastic surgery

Project Manager: Karin Svedberg (Sundelin)

Developmental areas

Oculoplastic surgery includes, among other things, diagnosis and treatment of tumors around the eye, misplacement of the eyelids and dysfunctional tear drainage.

Research and development have been focused upon choice of surgical technique for the individual patient. Hence, we have mainly performed clinical evaluation of surgical results.

One study has aimed to study complications of different replacement implants used during evisceration/enucleation and secondary orbital implantation. Results have led to modification of surgical methods and the number of complications have decreased. To this date it is, however, still uncertain what material is associated with the least number of complications.

One study has compared results of different surgeries used when treating obstruction in the tear drainage system. Results have shown that the individual patient’s different medical conditions may influence the cause of obstruction in the tear drainage system and should be taken into account when choice of surgical method is made. Many patients have been cured by the simpler surgical method probing and stenting the tear drainage system. With more complicated pathology an anastomosis between the tear sac and the nose has to be carried out. Regarding tear obstruction problems we collaborate with the ENT department, especially when pathology in the nose and sinuses are present.

Treatment of basal cell carcinoma and other cancers in the eyelid region is an important part of our activity. For more than 30 years now we have been collaborating with the dermatological department regarding cryo-treatment of well circumscribed basal cell carcinomas. As the only ophthalmologic department in Scandinavia we use surgery according to Mohs for basal cell carcinomas with high degree of aggressiveness and ill-defined tumors. Follow up is ongoing. We have stuck to a consequent and unaltered treatment regime during the years and have the largest material of cryo-treated basal cell carcinomas around the eyes in the world. Frequency of recurrences is by far the lowest all methods of treatment.

Page Manager: Katinka Almrén|Last update: 1/29/2018
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