Oculoplasty deals with the structures around the eye rather than the eye itself — eyelids, tear ducts, and the bony eye socket (orbit). At Drishti Netralaya, this care is led by Dr. Isha Agarwalla, trained at Shroff Charity Eye Hospital and the Jules Stein Eye Institute at UCLA, covering ptosis, orbital reconstruction, eyelid disorders, and eye tumours.
It's a fair question, since eyelid concerns can genuinely fall into either category — sometimes both at once. Use the table below to guide your evaluation:
| If You're Noticing… | It's Usually | Where It's Treated |
|---|---|---|
| A drooping eyelid that's blocking part of your vision | A functional problem (ptosis) | Oculoplasty (This page) |
| Constant watering or tearing from one or both eyes | Likely a blocked tear duct | Oculoplasty (This page) |
| A lump, growth or sore on the eyelid that isn't healing | Needs evaluation — could be benign or need a biopsy | Oculoplasty (This page) |
| Excess upper eyelid skin bothering you cosmetically, no vision impact | A cosmetic concern | Evolve Aesthetics |
| Wrinkles or fine lines around the eyes | A cosmetic concern | Evolve Aesthetics |
When drooping affects your field of vision, ptosis surgery is considered a medical or functional procedure rather than a cosmetic one. This distinction can matter when discussing how the procedure is categorised with your insurer.
A blocked or narrowed tear drainage duct is a common cause, although eyelid position problems and dry eye can also cause reflex tearing. A detailed eye examination is needed to determine the underlying cause.
Small stys and cysts often resolve on their own or with simple treatment. However, an eyelid lump that is growing, changing, bleeding, or has not improved within a few weeks should be examined by an eye specialist.
Most patients notice swelling and bruising settling within one to two weeks. The final eyelid position and appearance may continue to refine over the following weeks as healing progresses.
It can, particularly when the drooping eyelid affects visual development. Congenital ptosis in children should generally be evaluated early, because prolonged blockage of vision in a young child can affect how that eye's vision develops.
Yes. An initial evaluation is typically available at both the Dhemaji and Machkhowa centres. If surgery is required, you can then be referred to the main Drishti Netralaya hospital in Dibrugarh.
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