Replacement of the eyeball

If an eyeball is lost in an accident or due to a tumour and the eye cavity is empty, it causes a huge aesthetic problem, since the eyelids are not supported anymore. A glass eye cannot correct this problem because it does not provide the necessary support to the eyelids. Prof. Sailer has immense experience with replacing lost eyeballs by means of a hydroxylapatite implant. The eye muscles are fixed to this, so that the artificial eyeball can move in sync with the healthy eye.

Correcting sunken eyes (Enophthalmus)

If the cheekbone breaks, or if there is a direct impact on the eye, the eyeball sinks back, despite proper treatment, creating a drooping upper lid. This makes the eye look smaller. Prof. Sailer corrects this condition without any externally visible scars by implanting lyo-cartilage discs into the eye cavity with the help of a transconjunctival access.

Correction of protruding eyes (Exophthalmus)

Hyperactivity of the thyroid gland (Morbus Basedow) can result in eyes that protrude very prominently (due to thickening of the eye muscles). Prof. Sailer corrects these dangerous and aesthetically annoying development by extending the eye cavity and removing fat tissue, so that the eyeball can move back into the cavity.
Exophthalmus exists also in the case of severe malformations such as Morbus Crouzon. Here, the eyes are not set back in the eye cavities, but remain in their position. Instead, the eyes are protected by moving the middle face forward (LeFort-3 operation) and simultaneously also advancing the forehead (so-called fronto-facial advancement) causing the eye cavities to get elongated. In the case of severe facial malformations, postoperative aesthetics plays an important role, since these persons already affected by misfortune would finally want to get rid of the stigma of their deformity.

Removing tumours and cysts within and outside the eye cavities

Tumours and cysts within the eye cavity or in the neighbouring areas such as the paranasal sinuses can usually result in a protruding or displaced eye and functional disturbances. Prof. Sailer removes these changes in the eye cavity partly using access paths that he has developed on his own, which do not leave scars that are visible on the outside.

Congenital absence of the eye cavity (aplasia of the eye)

In the case of aplasia of the eye cavity and eyeball, Prof. Sailer reconstructs the missing cavity (orbita) by using an expanding special expander. After that the eyeball is imitated by a hydroxylapatite implant. This is followed by reconstruction of the lids, the conjunctival tissue is constructed by free oral mucousal membrane transplantation. An artificial thin eye prosthesis prepared by an epithetician complements the process of reconstruction.

Reducing the lacrymal sacks

The lacrymal sacs are fat tissue extruded from inside the eye cavity. We follow the transconjunctival procedure for removing this fat, i. e. access from the inside of the lower lid, to avoid external scars and ectropium.