Focus on Oculoplastics · • Weakness around the eyes or eyelids caused by Bell’s palsy • Tear...

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Thank you for the positive feedback we received about our first Eye newsletter. Our goal is to provide our fellow Starling doctors with information that may be helpful to you and your patients. Focus on Oculoplastics: Medical and Cosmetic Surgeries for the Eyes & Surrounding Areas Dr. Sarit Patel is our board-certified ophthalmic plastic and reconstructive surgeon. His treatments are both medical in nature to correct deformities and abnormalities, and cosmetic to rejuvenate the areas around the eyes. Because these types of surgeries can affect vision, ophthalmic plastic surgeons are uniquely qualified to perform these delicate procedures and provide any care that the eye itself needs. Common Conditions Oculoplastic surgery is performed to address a wide range of issues including: • Droopy upper eyelids • Eyelids that turn inward or outward • Eye problems caused by thyroid disease, such as Graves’ disease • Skin cancers or other growths in or around the eyes • Weakness around the eyes or eyelids caused by Bell’s palsy • Tear duct problems • Injuries to the eye or eye area • Birth defects of the eyes or the bone around the eyeball Types of Surgeries Dr. Patel operates either in the office or a day surgery center. All surgeries are done on an outpatient basis. Some of the most common surgeries include: • Blepharoplasty: eliminate excess skin and bags in the upper or lower eyelids • Ptosis Repair: correction of drooping upper eyelids • Ectropion Repair: correction of eyelid that is rolled out away from the eye • Entropion Repair: correction of eyelid that is rolled inward toward the eye • Eye Growth: removal and reconstruction due to skin cancer or other damaged skin areas • Orbital Surgery: managing thyroid and eye disorders, tumors, and trauma • Tear Duct Surgery: correcting or creating a new drainage path for tears • Other Cosmetic Services: including Botox and dermal fillers for use around the eyes Dr. Patel is happy to provide details about treatment options and good surgical candidates. Before Blepharoplasty After Blepharoplasty Before Ptosis Repair After Ptosis Repair Sarit Patel, MD Winter 2017

Transcript of Focus on Oculoplastics · • Weakness around the eyes or eyelids caused by Bell’s palsy • Tear...

Thank you for the positive feedback we received about our first Eye newsletter. Our goal is to provide our fellow Starling doctors with information that may be helpful to you and your patients.

Focus on Oculoplastics:Medical and Cosmetic Surgeries for the Eyes & Surrounding AreasDr. Sarit Patel is our board-certified ophthalmic plastic and reconstructive surgeon. His treatments are both medical in nature to correct deformities and abnormalities, and cosmetic to rejuvenate the areas around the eyes. Because these types of surgeries can affect vision, ophthalmic plastic surgeons are uniquely qualified to perform these delicate procedures and provide any care that the eye itself needs.

Common ConditionsOculoplastic surgery is performed to address a wide range of issues including:

• Droopy upper eyelids • Eyelids that turn inward or outward • Eye problems caused by thyroid disease, such as Graves’ disease• Skin cancers or other growths in or around the eyes• Weakness around the eyes or eyelids caused by Bell’s palsy• Tear duct problems• Injuries to the eye or eye area• Birth defects of the eyes or the bone around the eyeball

Types of SurgeriesDr. Patel operates either in the office or a day surgery center. All surgeries are done on an outpatient basis. Some of the most common surgeries include:

• Blepharoplasty: eliminate excess skin and bags in the upper or lower eyelids• Ptosis Repair: correction of drooping upper eyelids• Ectropion Repair: correction of eyelid that is rolled out away from the eye• Entropion Repair: correction of eyelid that is rolled inward toward the eye• Eye Growth: removal and reconstruction due to skin cancer or other

damaged skin areas• Orbital Surgery: managing thyroid and eye disorders, tumors, and trauma• Tear Duct Surgery: correcting or creating a new drainage path for tears• Other Cosmetic Services: including Botox and dermal fillers for use around

the eyes

Dr. Patel is happy to provide details about treatment options and good surgical candidates.

Before Blepharoplasty

After Blepharoplasty

Before Ptosis Repair

After Ptosis Repair

Sarit Patel, MD

Winter 2017

Our Areas of Expertise

Alan L. Stern, MD Patricia A. McDonald, MD Corneal Surgery Cataract & Anterior Segment Surgery Cataract & Anterior Segment Surgery External Diseases Laser Vision Correction

Edward P. Fitzpatrick, MD Martin C. Seremet, MD Disease & Surgery of the Retina & Vitreous Cataract & Anterior Segment Surgery Diabetic Retinopathy Glaucoma Therapy & Surgery Macular Degeneration

Sarit M. Patel, MD Christopher J. Russo, MD Oculoplastic & Reconstructive Surgery Cataract & Anterior Segment Surgery Cosmetic Eyelid Surgery

Tracey L. Asmus, OD Routine Eye Exams Contact Lens Exams & Fittings

How to Reach UsPlease identify yourself as a Starling Physicians provider when calling.One Lake Street, Building C, New Britain, CT 06052 • (860) 826-4460641 Farmington Avenue, Bristol, CT 06010 • (860) 585-000055 Meriden Avenue, Suite 1G, Southington, CT 06489 • (860) 621-3723 3640 Main Street, Suite 102, Springfield, MA 01107 • (413) 214-6051

Diabetics at Serious RiskDiabetes is the leading cause of new cases of blindness among adults aged 20 to 74 years. According to the Centers for Disease Control, approximately 11.0% of U.S. adults with diabetes have some form of visual impairment (3.8% uncorrectable and 7.2% correctable).

• 4.2 million people with diabetes aged 40 years or older (28.5%) had diabetic retinopathy (DR) and, of these, 655,000 (4.4% of those with diabetes) had advanced DR that could lead to severe vision loss.

• DR is projected to affect 16 million people with diabetes by 2050.

• Other diseases, like cataracts and glaucoma, also are projected to increase in this population.

The American Diabetes Association (ADA) recommends that adults and children aged 10 years or older with Type 1 diabetes should have an initial dilated comprehensive eye exam within 5 years after the onset of diabetes, and patients with Type 2 diabetes should undergo an examination shortly after diagnosis of the disease. Yearly dilated eye exams are then recommended. Careful attention to good blood sugar levels and blood pressure control is paramount.

PATIENT RESOURCES:The Starling Ophthalmology: Eye Center page has valuable information and many videos about a wide range of conditions,

diseases, and treatment options.

Cancer Care Related Eye IssuesIn some cases, chemotherapy agents or medications used to reduce side effects may contribute to the development of eye problems. Cataracts, dry eye syndrome, and chemo-related itchy eyes are some examples of eye problems resulting from cancer treatments.Here are some possible eye complications to watch for:• Some medications such as bexarotene,

dexamethasone, hydrocortisone, methylprednisone, prednisone, and tamoxifen (in very rare cases) may contribute to the development of cataracts.

• Some medications such as capecitabine, carmustine, epirubicin, methotrexate, and oprelvekin may contribute to the development of conjunctivitis.

• Some medications such as isotretinoin and tretinoin may contribute to the development of dry eye syndrome.

• Some medications such as cytarabine, fluorouracil, isotretinoin, and tretinoin may contribute to the development of photophobia.

• Some medications such as capecitabine, cytarabine, doxorubicin, and fluorouracil may contribute to the development of watery eyes.

We are here as a resource for cancer patients who may experience eye conditions as a result of treatment.