Sydney Oculoplastic Surgery

Sydney Oculoplastic Surgery has been in operation for some five years as a hospital recognised by the Federal Government and is fully accredited. It is licensed with the New South Wales Department of Health as a day hospital and is recognised as the same by health funds. Sydney Oculoplastic Surgery has a full contract with the Department of Veteran Affairs and fees are partially reimbursed by all other health funds.

Since its inception in 2005, each week many procedures are performed at Sydney Oculoplastic Surgery. The procedures are usually performed under sedation by an anesthetist. Once the patient is sedated an injection is used to anesthetise the region which will be operated.

After the patient is anesthetised they are taken from the anesthetic bay into the operating room, the procedure is performed with Dr Ghabrial and his assistant surgeon, another fully qualified doctor.

After the procedure is performed the patient's are taken to recovery and one of our nurses gives them something to eat and they are discharged when they are awake and comfortable. The patient's must have someone to accompany them on their way home as they may be slightly drowsy. If you think you may not have someone to accompany you, please inform our staff prior to your surgery.

Unique Techniques

At Sydney Oculoplastic Surgery Raf Ghabrial performs variety of unique techniques:

1. Endoscopic dacryocystorhinostomy under assisted local anaesthesia. 
   This is a situation where patient's can have scar less, minimally invasive surgery to unblock and bypass their tear ducts. This is done as day surgery and the patient can recover within a day or two, frequently returning to normal duties within the week (patient's do not require slow recovery from a general anaesthesia or from scars on the face with associated bruising). This is a situation that is unique and not performed in many centres around the world.
2. Cicatricial ectropion repair 
   In this technique skin grafts are not used as Dr Ghabrial believes that discolouration does not achieve a superior aesthetic result. A skin flap is rotated from the upper lid thereby achieving colour and skin quality match as well as suspending the lower lid.
3. Internal ptosis repair
   Whilst some patient's are unsuitable for this technique, it is very useful for patient's with mild ptosis (drooping of the eyelid). In this operation described by Putterman of Chicago there is no external scar and the procedure is minimally invasive and reproducible with excellent results.