Medically reviewed content · Last reviewed: 15 Jan 2026
Overview
Oculoplasty covers the structures around the eye — eyelids, tear-drainage system and the bony socket (orbit). Conditions range from drooping lids and inturned eyelashes to blocked tear ducts and orbital disease. Careful evaluation distinguishes simple functional problems from those needing imaging or surgery.
Symptoms & Warning Signs
- Drooping upper eyelid
- Constant watering or discharge from the eye
- Eyelid turning in or out
- Lumps or swelling on the lid
- Bulging of the eye or pain behind it
Possible Causes
Age-related tissue laxity, congenital differences, nerve problems, infections, thyroid eye disease, trauma and, occasionally, tumours of the lid or orbit.
When to Consult an Eye Specialist
A rapidly growing lid lump, double vision with a bulging eye, or painful swelling with fever needs prompt specialist review. Persistent watering beyond infancy warrants a tear-duct evaluation.
Diagnostic Process
- Detailed eyelid and orbital examination
- Tear-drainage (syringing) assessment
- Imaging such as CT or MRI where indicated
- Thyroid and systemic work-up for orbital disease
Management & Treatment Approaches
- Surgical correction of lid malposition (ptosis, entropion, ectropion)
- DCR surgery for blocked tear ducts
- Removal of lid lesions with biopsy when needed
- Medical or surgical management of thyroid eye disease and orbital conditions
What to Expect
Most lid procedures are day-care under local anaesthesia. Your surgeon will explain scar placement, healing time and realistic functional and cosmetic outcomes.
Risks & Limitations
Risks include bruising, infection, asymmetry and, rarely, recurrence or the need for refinement. Orbital surgery carries additional risks that will be discussed individually.
Recovery & Follow-up
Swelling and bruising settle over one to three weeks. Suture removal and review visits are scheduled; final contour matures over a few months.
Frequently Asked Questions
Medical disclaimer: This page is general educational information, not a diagnosis or a guarantee of any outcome. Treatment decisions are made only after an in-person evaluation by a qualified eye specialist.