{"id":8512,"date":"2021-06-23T14:40:31","date_gmt":"2021-06-23T13:40:31","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/?page_id=8512"},"modified":"2021-06-23T14:40:31","modified_gmt":"2021-06-23T13:40:31","slug":"palpebral-and-orbital-pathologies","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/palpebral-and-orbital-pathologies\/?lang=en","title":{"rendered":"Palpebral and orbital pathologies"},"content":{"rendered":"<h3>Treatment of palpebral abnormalities<\/h3>\n<p><strong>Upper:<\/strong><\/p>\n<ul>\n<li><u>Ptosis (drooping and fall of the upper eyelid)<\/u>: corrective surgery rectifying the position of the upper eyelid.<\/li>\n<\/ul>\n<table align=\"center\">\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8801\" aria-describedby=\"caption-attachment-8801\" style=\"width: 399px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_avant.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8801\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_avant.jpg\" alt=\"Right ptosis before surgery\" width=\"399\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8801\" class=\"wp-caption-text\">Right ptosis before surgery<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8800\" aria-describedby=\"caption-attachment-8800\" style=\"width: 417px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_apres.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8800\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_apres.jpg\" alt=\"Right ptosis after surgery\" width=\"417\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8800\" class=\"wp-caption-text\">Right ptosis after surgery<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li><u>Dermatochalasis (\u00ab\u00a0baggy eyes\u00a0\u00bb):<\/u>\u00a0excessive skin on the upper eyelid amputating the visual field<\/li>\n<\/ul>\n<p><b><br \/>\n<strong>Lower :<\/strong><br \/>\n<\/b><\/p>\n<ul>\n<li>\n<figure id=\"attachment_8781\" aria-describedby=\"caption-attachment-8781\" style=\"width: 200px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8781\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Entropion.jpg\" alt=\"Lower palpebral entropion\" width=\"200\" height=\"152\" \/><figcaption id=\"caption-attachment-8781\" class=\"wp-caption-text\">Lower palpebral entropion<\/figcaption><\/figure>\n<p><u>Entropion<\/u>\u00a0: inversion (turning inward) of the lower eyelid and the eyelash (cilium) irritating the surface of the eyeball (ocular globe).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><u>Ectropion<\/u>: eversion (turning outward) of the lower eyelid, source of a major risk of eye infection, pain, and unclean secretions agglutinating in the eyelashes; it necessitates surgical treatment.<br \/>\n<table>\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8776\" aria-describedby=\"caption-attachment-8776\" style=\"width: 447px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_yeux.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8776\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_yeux.jpg\" alt=\"Ectropion\" width=\"447\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8776\" class=\"wp-caption-text\">Ectropion<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8775\" aria-describedby=\"caption-attachment-8775\" style=\"width: 237px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8775\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_oeil.jpg\" alt=\"Ectropion\" width=\"237\" height=\"150\" \/><figcaption id=\"caption-attachment-8775\" class=\"wp-caption-text\">Ectropion<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/li>\n<li><u>Abnormal eyelash position:<\/u>\u00a0Often turned inwards, the eyelashes rub against the ocular surface and can be the source of ulcers and considerable everyday pain. Treatment can be carried out either through several laser sessions, or by surgery.<\/li>\n<\/ul>\n<figure id=\"attachment_8777\" aria-describedby=\"caption-attachment-8777\" style=\"width: 250px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8777\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/malposition-de-cils-.jpg\" alt=\"Abnormal eyelash position\" width=\"250\" height=\"266\" \/><figcaption id=\"caption-attachment-8777\" class=\"wp-caption-text\">Abnormal eyelash position<\/figcaption><\/figure>\n<p><strong>Carcinological<\/strong>: ablation \u00a0of cancerous periocular and eyelid lesions; reconstructive surgery, in close coordination with the multidisciplinary departments of dermatology, ENT and cancerology.<\/p>\n<table align=\"center\">\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8782\" aria-describedby=\"caption-attachment-8782\" style=\"width: 260px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-paupiere.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8782\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-paupiere.jpg\" alt=\"Malignant tumor of the outer 1\/3 of the eyelid\" width=\"260\" height=\"200\" \/><\/a><figcaption id=\"caption-attachment-8782\" class=\"wp-caption-text\">Malignant tumor of the outer 1\/3 of the eyelid<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8783\" aria-describedby=\"caption-attachment-8783\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-canthus-interne.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8783\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-canthus-interne.jpg\" alt=\"Malignant tumor  (basal cell carcinoma) of the medial canthus\" width=\"350\" height=\"200\" \/><\/a><figcaption id=\"caption-attachment-8783\" class=\"wp-caption-text\">Malignant tumor (basal cell carcinoma) of the medial canthus<\/figcaption><\/figure><\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top;\">\n<figure id=\"attachment_8778\" aria-describedby=\"caption-attachment-8778\" style=\"width: 314px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur_paupi\u00e8re-inferieure.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8778\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur_paupi\u00e8re-inferieure.jpg\" alt=\"Malignant tumor of the entire lower eyelid\" width=\"314\" height=\"253\" \/><\/a><figcaption id=\"caption-attachment-8778\" class=\"wp-caption-text\">Malignant tumor of the entire lower eyelid<\/figcaption><\/figure><\/td>\n<td style=\"vertical-align: top;\">\n<figure id=\"attachment_8774\" aria-describedby=\"caption-attachment-8774\" style=\"width: 351px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/reconstruction_paupier_carcinome.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8774\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/reconstruction_paupier_carcinome.jpg\" alt=\"Aspect after ablation and reconstructive surgery of carcinoma affecting the entire eyelid\" width=\"351\" height=\"250\" \/><\/a><figcaption id=\"caption-attachment-8774\" class=\"wp-caption-text\">Aspect after ablation and reconstructive surgery of carcinoma affecting the entire eyelid<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Treatment of orbital pathologies:<\/h3>\n<p>The orbit is the bony framework surrounding the eye, and it contains orbital fat, the extraocular muscles, the optic nerve and the ocular globe itself. It is the site of numerous inflammatory, traumatic and cancerous pathologies.<\/p>\n<p><strong>Inflammatory pathologies <\/strong>: \u00a0inflammation provoking exophthalmia (protrusion of the eyeballs), especially in cases of BASEDOW disease.<\/p>\n<p><strong>Tumoral pathologies:<\/strong>\u00a0 surgery and monitoring of benign and malignant orbital tumors.<\/p>\n<h3>Treatment of lacrimation<\/h3>\n<p><strong>Lacrimation<\/strong> (tearing) is a very frequent pathology with a major impact on quality of life reported by patients. \u00a0Its causes are multiple.<\/p>\n<p>It can be related to <strong>excessive tear production<\/strong> through irritation of the ocular surface (keratitis, dry eye disease, entropion, ectropion&#8230;), and its treatments are medical and surgical.<\/p>\n<p>The other very frequent cause of lacrimation is\u00a0<strong>obstruction<\/strong> of \u00a0the natural routes of tear evacuation towards the nose: narrowing of the meatus, the canaliculus or the nasolacrimal duct<\/p>\n<figure id=\"attachment_8779\" aria-describedby=\"caption-attachment-8779\" style=\"width: 442px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Dacryocystite-chronique.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8779\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Dacryocystite-chronique.jpg\" alt=\"Chronic right dacryocystitis: enlarged volume of the lacrimal sac with obstruction of the nasolacrimal duct\" width=\"442\" height=\"287\" \/><\/a><figcaption id=\"caption-attachment-8779\" class=\"wp-caption-text\">Chronic right dacryocystitis: enlarged volume of the lacrimal sac with obstruction of the nasolacrimal duct<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>These pathologies are treated at the Poitiers CHU: specialized treatment in the ophthalmology department:<\/p>\n<ul>\n<li>specialized lacrimation consultation,<\/li>\n<li>adapted palpebral surgery,<\/li>\n<li>tear duct dilation,<\/li>\n<li>external dacryo-cysto-rhinostomy \u00a0(diversion of the lacrimal sac in the nasal cavities)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Treatment of palpebral abnormalities Upper: Ptosis (drooping and fall of the upper eyelid): corrective surgery rectifying the position of the upper eyelid. Dermatochalasis (\u00ab\u00a0baggy eyes\u00a0\u00bb):\u00a0excessive skin on the upper eyelid amputating the visual field Lower : Entropion\u00a0: inversion (turning inward) of the lower eyelid and the eyelash (cilium) irritating the surface of the eyeball (ocular [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8512","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Palpebral and orbital pathologies - Ophtalmologie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/palpebral-and-orbital-pathologies\/?lang=en\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Palpebral and orbital pathologies - Ophtalmologie\" \/>\n<meta property=\"og:description\" content=\"Treatment of palpebral abnormalities Upper: Ptosis (drooping and fall of the upper eyelid): corrective surgery rectifying the position of the upper eyelid. 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