PAEDIATRIC CONDITIONS
One of the most demanding and technically challenging aspects of oculoplastic surgery is paediatric surgery. The tissues are smaller, they’re much less forgiving, and incisions need to be completely invisible because the skin is very soft and has no lines to hide the incisions in. The need for precision is paramount, because even the smallest error can have lasting consequences on a child’s development.
– DR NICK KOUTROUMANOS
An intricate network of minuscule muscles, tendons, and tissues is designed to facilitate the seamless movement of the eyelids across the surface of our eyes, a process repeated thousands of times each day.
Acting as a protective wiper, the eyelids must have perfectly smooth and angled edges to safeguard against potential damage to the ocular surface. This delicate balance of eye tissues can sometimes by slightly out of balance.
Some children can be born with a slight inward turning of the eyelid, known as entropion, or, less frequently, an outward-turning eyelid, referred to as ectropion.
Another common occurrence is when the eyelid margin maintains its ideal shape, but a skin fold pushes the eyelashes onto the eye, a condition termed epiblepharon. In certain cases, even with normal tissue anatomy, an extra row of eyelashes may pose challenges to the eye.
Is surgical intervention necessary?
While some cases may see a gradual improvement as the child’s face develops, it is only through a qualified assessment that more severe instances requiring surgical intervention to prevent potential eye damage can be identified and addressed.
EYELID SURGERY EXPERT
Dr Nick Koutroumanos
Dr Nick Koutroumanos is a London-based Ophthalmic & Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic & reconstructive eyelid, orbital and lacrimal surgery.
His private practice, based at The Hospital of St John & St Elizabeth in St John’s Wood complements his work in charge of a large NHS oculoplastics practice at the Royal Free Hospital in Hampstead.
A qualified senior trainer and Royal College Examiner in ophthalmic plastic surgery, cataract surgery and general ophthalmology, he runs an Oculoplastics Fellowship training programme that is highly sought-after by both UK and international candidates.
