As an Oculoplastic and Lacrimal surgeon, my work overlaps with other medical specialities. In this blog, I will explain how we often work together.
Oculoplastic and lacrimal surgeons have close working links with related specialities. For example, dermatology, oncology, ENT, neurology, neurosurgeons and plastic surgery. We form part of multi-disciplinary teams for the management of specific conditions.
“I love working with my neurology, dermatology, and ENT colleagues!”
I often refer patients with droopy eyelids to the neurologist. I want to make sure there is no serious underlying cause such as myasthenia gravis.
Oculoplastic surgeons often work with dermatological surgeons. They remove the eyelid and periocular basal cell carcinomas using Mohs’ micrographic surgery. Then the oculoplastic surgeon does the subsequent eyelid and periocular reconstruction.
I work with Mohs´ surgeon Consultant Dermatologist Mr. Edward Seaton. He does the Mohs´surgery at the Royal Free Hospital. Then I do the eyelid and periocular reconstruction at Clinica London.
Dermatology Compliments Oculoplastic Surgery
I also work closely with our dermatologist Dr Jennifer Crawley. She is an NHS Consultant at University College Hospital and works one day a week at Clinica London. We share patients with eyelid skin tumours, rosacea, acne and other skin problems. Dr Crawley provides a service checking moles, treating skin cancers such as basal cell carcinomas, squamous cell carcinomas, Bowen´s disease, and malignant melanoma, on the trunk and limbs as well as the face away from the eyelids.
Many patients that I see with eyelid small basal carcinomas may have another tumour on their back, for instance. I refer those patients to Dr Crawley for her advice and she goes ahead and biopsies. Then she does cryotherapy or other medical or surgical treatment.
Dr Crawley, in her own right as a Skin doctor, specialises in dermatology including eczema, psoriasis, and other dermatology conditions.
There is a big overlap with ENT. We often share the care of patients with thyroid eye disease, sinus problems and difficult watering eyes where there is a tight septum