OHSU

Casey Eye Institute at OHSU, Portland, Oregon

Where Healing, Teaching and Discovery Come Together


Pediatric Plastic and Reconstructive Surgery

Children may need reconstructive eye surgery for a number of conditions. For example, a condition called congenital ptosis may require surgical correction. This condition, in which a drooping eyelid partly or completely covers the eye, needs to be corrected so children can develop normal vision.

Children may have congenital growths of the eyelid such as large nevi (pigmented birth marks) or enlarging blood vessel lesions called infantile hemangiomas. These can also interfere with vision and visual development if they are large and cause the eyelid to droop or if their mass puts pressure on the eye itself.

Children may have growths in their orbits (eye sockets) such as congenital cysts or even benign and malignant tumors that may need to be removed or biopsied optimal treatment.

In children with congenital facial developmental conditions such as failure of developmental fissures to close (facial clefts) or early closure of these fissures (synostoses), the eyelids and eye sockets are often involved. Reconstructive procedures to protect the eye and help them function well are usually required.

Unfortunately, trauma due to falls, sports injuries and even dog bites frequently affect the eyelids, and eye sockets in addition to the face. Proper repair is needed for the eyes and eyelids to be fully functional and to appear cosmetically acceptable.

Babies may also develop infected eyes from a condition known as "overflow tearing," in which tears fail to drain appropriately through the tear duct. Though this condition often resolves by the time a child is a year old, an oculofacial plastic surgeon can correct the problem in a variety of ways if it does not.

The majority of pediatric procedures at Casey are handled by Dr. John D. Ng, M.D., F.A.C.S.

For more information or to schedule an appointment, call us at 503 494-3010.

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