Mr Leatherbarrow gave a webinar teaching session on eyelid problems in general practice on 8 February 2021. Although a return to face to face presentations will be very welcome, this format has proved to be extremely popular and well received. Many different eyelid problems were discussed with an emphasis on being able to differentiate benign from malignant eyelid lesions.

A benign upper lid cyst

A lower lid basal cell carcinoma (rodent ulcer)

Click on the link below to see the feedback received

Feedback for Brian Leatherbarrow – 8th January 2021 Eyelid Problems

Book a consultation with our refractive surgeon for advanced intraocular lens surgery and spectacle independence

Click on the link below for further information

Refractive Lens Surgery

Please read  by clicking here

Our waiting room and reception as it appears now – let’s hope we can get back to the way we were very soon

When seeking an opinion about cosmetic eyelid surgery (blepharoplasty) or droopy eyelid surgery (ptosis), a virtual consultation provides an opportunity to gain an initial opinion and advice about your suitability for the procedure. This can then be followed by a shorter face to face consultation after a period of reflection about the pros and cons. A virtual consultation is also ideal for patients who live a long distance away from the Face & Eye Clinic.

A patient with lower lid bags and dark circles seen before and 4 months after a bilateral lower lid scarless blepharoplasty (the surgery was performed via the inside of the eyelid) with fat repositioning

The surgery is most commonly performed under local anaesthesia with sedation (‘twilight anaesthesia’)

Click here to see the Google review posted by this patient (Sian) and many others following this very specialist surgery

Click here to download the top 10 questions about cosmetic eyelid surgery

It is important that eyelid lumps and bumps are correctly diagnosed so that the appropriate treatment is provided. The patient below has a chalazion (meibomian cyst). Hot compresses and massage are appropriate early measures to treat the chalazion when it is small. Failure of conservative treatment means that an incision and curettage is required (this is a quick procedure requiring a local anaesthetic).

The patient below has a cyst of Moll that was misdiagnosed as a chalazion. He was told to apply hot compresses which he did for several months to no avail. This was not appropriate. Removal of the cyst requires minor surgery.

The patient below complained of a red irritable eye for months. He had been given eyedrops by his GP and at an eye hospital clinic with no improvement. The cause of the red eye was the eyelid lump that had been missed. This was a molluscum contagiosum. Removal of the eyelid lesion resolves the eye problem.

If you have concerns about facial / eyelid lumps and bumps, we can help.

Ask you surgeon for an audit of blepharoplasty operations

https://link.springer.com/article/10.1007/s00238-020-01671-7

As lockdown restrictions begin to ease, we want to update you on how busy our Face & Eye team has been behind the scenes preparing for our reopening on 6 July 2020 in line with Government guidelines.

Our team has all the appropriate PPE and is fully equipped to welcome you back to Face & Eye at the appropriate time. The clinic has always prided itself on the cleanliness of its facilities, and our cleaning regime reflects the revised infection control guidance from Public Health England for the prevention of transmission of Covid-19. The number of patients present within the clinic at any one time will be reduced, with longer gaps between appointments so that our staff can clean areas properly before the next patient is brought through to see the consultants or nurses.

Our return will be a gradual process to ensure that our new protocols are working well. In line with the guidelines of The Royal College of Ophthalmologists, we will start with clinic consultations and low risk surgical procedures for our patients.

We are introducing video consultations and video follow up appointments where appropriate so that you can stay in the safety of your home whilst still having access to your consultant.

When you visit our clinic, it will look a little different from any previous visits. We have had to removed leaflets and our before and after portfolios. We have created signage to ensure you are well informed of our social distancing measures and our practices that we have put in place to protect you and our team.

Please rest assured that you and our new patients continue to be at the heart of everything we do and we look forward to welcoming you back as soon as Government guidance allows. As always, if you have any questions please contact us at enquiries@faceandeye.co.uk

Our warmest wishes to you.

The Face & Eye Team

Mr Cannon and Mr Leatherbarrow publish their lower lid transconjunctival blepharoplasty with fat repositioning results

Floaters occur because of changes in the vitreous, the clear, jelly-like substance that fills the inside of the eyeball.  The vitreous jelly shrinks as you get older, and slowly pulls away from the inside surface of the eye.

This shrinking and separation or detachment of the vitreous from the retina is a common phenomenon, particularly in people over 50 years of age, and causes no retinal damage in nine out of 10 patients.  It is known as a posterior vitreous detachment or PVD.

Floaters rarely lead to any serious problems, so you generally don’t need any treatment for them.  If they are troublesome, the effect of floaters might be minimised by wearing dark glasses.  This will help especially in bright sunlight or when looking at a brightly lit surface.  In many cases, the flashes disappear with time and the floaters get less noticeable as the brain adjusts to the changes in the vitreous.

If you develop flashes of light (seen as scintillating stars) or your floaters become much worse, you should consult  your optometrist (optician) or visit a specialist A&E department to exclude any serious retinal problems.  If you see a black shadow or a curtain effect or you suddenly lose vision, you should go to your nearest A&E Department without any delay.