Oculoplastics refers to the area surrounding the eye including the eye orbit or socket, eyelids, and tear drain system. Oculoplastic procedures are revisions or repairs to defects in those areas caused by aging, trauma, infection, or birth defects and include both functionally necessary as well as cosmetic surgical repair. Dr. Popham is a specialist in the field of Oculoplastics and has a stellar reputation among his colleagues for his extensive work in the field for both functional and cosmetic purposes and is a pioneer in several types of surgery particularly pertaining to repair of the lacrimal system.
Eyelid abnormalities can be present from birth (congenital) or a result of injury, previous surgery, or aging. Dr. Popham is an expert in eyelid conditions such as dermatachalasis (excess baggy skin around the eyelids), ptosis (droopy eyelids), and ectropions and entropions (rolling of the eyelid outward and inward, respectively).
Many varied conditions can result in overflow tearing. Because many of the conditions that cause overflow tearing are related to the anatomy of the tear drain system (also known as the lacrimal drainage system), it is important to go to a doctor who is familiar with the complicated anatomy of the lacrimal system. Common causes of over-tearing (epiphora) include a shrinking of the tear drain opening (the puncta), infections in the lacrimal sac (dacryocystitis), and narrowing and/or obstruction of the nasolacrimal duct. These conditions are treated in a variety of fashions, with some procedures being able to be performed in an office setting and others requiring local or general anesthesia in the operating room.
A wide variety of diseases, congenital anomalies, and types of trauma may affect the eye socket, referred to as the orbit. The eye socket or the orbit refers to the bony socket in the skull which houses and protects the eye. OculoPlastic (or OculoFacial) surgeons specialize in this complex portion of the human body. Some examples of orbital abnormalities include orbital blow out fractures, orbital tumors or masses, and bulging eyes (proptosis) commonly caused by Thyroid Eye Disease (or Graves Disease).
Facial contractures, facial nerve disorders, and other conditions such as migraine headaches may be treated with botulinum toxin type A, or BOTOX® (a brand name owned by Allergan, Inc.) for medical reasons. Dr. Popham began injecting Botox for patients with muscle dystonias such as blepharospasm and hemifacial spasm while he was a clinical fellow in oculoplastic surgery at Harvard Medical School in 1990.