Eye Related Medical Procedures in Milwaukee
Dr. Bruce Massaro provides medically necessary eye surgeries for residents of southeast Wisconsin and northern Illinois. There are many reasons a patient may need to have a reconstructive procedure done with an oculoplastic surgeon. The most common reason is correcting ptosis causing eyelid drooping. From cancer of the eyelid to orbital surgery, Dr. Massaro is your best resource for treatment. View examples of his work with before and after images of eyelid surgery patients.
What To Look For In An Oculoplastic Surgeon
When looking for an oculoplastic surgeon, use these two words: qualifications and experience. The American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) trains only about 15 oculoplastic surgeons every year. Following an ophthalmology residency, these rigorous 2-year fellowships focus on advanced training in plastic and reconstructive surgery for the eyelids, orbital region and the nasolacrimal system. As a Board Certified Fellow of the ASOPRS and practicing surgeon, Dr. Massaro is well qualified to address any medical issue you may be having with your eyes and the surrounding orbital region.
Lacrimal (Tear Duct) Surgery
A blocked tear duct prevents tears from draining through the Nasolacrimal Duct, which leads to an irritated and watery eye. This is a common condition with newborns, although it usually resolves itself within a year. With adults, obstruction of the Nasolacrimal Duct is typically caused by an infection, a facial injury, a narrowing of passageways in the tear drainage system, or a tumor pressing on the tear duct.
If your eyes are persistently watering or irritated, it is highly advisable to consult an ophthalmologist. A blocked tear duct traps bacteria in the nasolacrimal sac, which can cause an infection called dacryocystitis. Left untreated, this can cause serious vision problems. The surgical procedure for correcting a blocked tear duct is called a Dacryocystorhinostomy (DCR). The treatment involves making a new path for tears to drain to your nose again by bypassing the nasolacrimal duct and going straight into the nose. Another possibility is to create a new passageway from the inside corner of the eye to the nose. This option, called a conjunctivodacryocystorhinostomy, completely bypasses the tear drainage system.
Dr. Massaro has performed numerous successful surgeries to correct obstructions of the nasolacrimal duct. The procedure is done on an endoscopic basis whenever possible, working through the nose rather than cutting through skin. This approach does not leave a scar on the face like the conventional DCR surgery, but also allows Dr. Massaro to treat any additional intranasal problems which may be noted during the procedure.
Surgery for Cancer of the Eyelid or Eye
Due to their nearly constant exposure to UV rays, the eyelids (both upper and lower) are an area of the body highly susceptible to skin cancer. Cancer of the eyelid poses a serious risk for damaging tissue of nearby parts of the eye--and even causing blindness--due to how thin the eyelid is. Surgery on the eyelids or eyes requires the expertise of an experienced, board certified ophthalmologist and plastic surgeon like Dr. Massaro. Our concern is not only to remove any abnormal growths which may be cancerous, but to do so in a manner which will minimize scarring and loss of vision.
Patients often come to us with concerns about a suspicious growth or discoloration on an eyelid or near their eye. If necessary, part of the growth will be removed and tested. If the results show a malignancy, Dr. Massaro will be an integral part of a team of physicians treating you. The approach to treatment may range from “watch and wait” in the case of a small intraocular melanoma to removal of the tumor and surrounding tissue. A topical chemotherapy via a cream or solution may be subscribed, and in rare instances, complete removal of the eye. Dr. Massaro’s experience as an oculoplastic surgeon enables him to also perform effective reconstructive surgery with treatments most beneficial for you.
While many of our patients are referred to us by physicians for removal of suspicious growths or unusual bumps around or on the eye, we welcome patients with a concern about anything pertaining to their eyes. If you notice anything unusual or have a noticeable and lasting change in your vision, do not put off having a certified ophthalmologist look at it. Early detection of cancer in this region, or any other, can make all the difference.
Orbital surgery, also referred to as Ophthalmic Plastic surgery, treats a wide range of problems in the periocular area (the bony cavity surrounding the eye). The orbital region of the eye houses the eye but also the nerves, muscles and blood vessels which enable function of the eye. Any change in this region, particularly after an injury to the face, is cause for concern. If you are experiencing any difficulty seeing, have double vision, pain or swelling in the orbital area, it is advisable to have an eye specialist examine your eye(s). Having extensive experience in both plastic surgery and ophthalmology, Dr. Massaro merges the precision and advanced technologies of ophthalmic surgery with the aesthetic and reconstructive techniques of plastic surgery.
Recovery Times for Blepharoplasty Procedures
The development of endoscopic techniques for lacrimal and other eye related surgery dramatically shortens the recovery time for those undergoing surgery for a blocked nasolacrimal duct. In most cases, patients can go home after the surgery. You will be scheduled for several postoperative visits with Dr. Massaro to monitor your progress and to clean any fluid or blood in your nose after the surgery. A pain medication will be prescribed to minimize any discomfort the cleaning may cause.