A chalazion is a common, troublesome condition. It is due to blockage or dysfunction of a meibomian gland which is an oil producing gland in the eyelid margin.

The condition presents as a lump in the eyelid; sometimes quite hard and well defined and sometimes less well defined and surrounded by soft swelling.

The lump can be treated with warm compresses but can persist for quite some time.

A quick, surgical procedure can be performed to resolve the lump effectively. The procedure involves making a cut on the inside of the eyelid and clearing out the contents of the lump. The procedure usually takes 5-10 minutes under local anaesthetic.

To reduce the risk of chalazia returning, please see the section on ‘blepharitis’.

If you’d like to enquire about rapid access to treatment for chalazia in London, please contact us.

Blepharitis is an increasingly common condition in the UK.

Sufferers can be plagued by gritty, burning eyes with blurring of vision in severe cases.

There are broadly two forms of blepharitis – anterior and posterior. 

Characterised by a scaly lid margin and/or keratin deposition at the eyelash roots.

Characterised by meibomian gland dysfunction. Meibomian glands lie along the eyelid margin and produce an oily substance that helps stabilise the tear film, keeping the eye moist and comfortable.

Meibomian gland dysfunction is very common in the UK at the moment. The exact cause is unclear, but there do seem to be some interesting treatments and exacerbating factors that may point towards risk factors.

Traditional treatments for this condition including lid hygiene and warm compresses can be found on the NHS website here. 

However, Mr Saha would also like to discuss a more holistic approach to the condition here.

Omega 3 fatty acids have been shown to help patients with Meibomian gland dysfunction possibly through an anti-inflammatory effect. It is interesting to note that the modern UK diet has led to a lower omega 3: omega 6 ratio and this state is considered pro inflammatory. Omega 3 fatty acid supplementation is one way of rebalancing this ratio.

Stress is a clear trigger for acute Meibomian gland dysfunction in a number of patients. This is characterised by chalazion formation – a firm nodule in the eyelid. Chalazia can be managed with a simple surgical procedure once established, however, reflecting on the underlying cause is valuable in reducing recurrence risk.

An awareness of the dietary influences and psychological influences on meibomian gland dysfunction may be a valuable component in the successful management of this troublesome condition.

If you’d like to enquire about treatments for blepharitis and meibomian gland dysfunction in London, please contact us.

Eyelid reconstruction is required after removal of eyelid tumours.

The process involves rebuilding the various components of the eyelids to form a functional and aesthetic result.

A wide variety of techniques should be at the disposal of your Oculoplastic Surgeon from judging when your eyelid is able to heal itself (the technique of ‘laissez faire’) to grafting and flap techniques. A detailed knowledge of the anatomy of the eyelids is required to deliver an optimal outcome.

Mr Saha has written a chapter on this subject in a textbook aimed at educating Plastic and Oculoplastic Surgeons – Plastic and Reconstructive Surgery: Approaches and Techniques.

If you’d like to enquire about eyelid reconstructive surgery in London, please contact us.

It is common for upper eyelids to droop with age due to stretching of structures within the eyelid. This can give the face a tired appearance and, if severe, result in impairment of vision. Oculoplastic surgeons refer to drooping eyelids as ‘ptosis’.

Upper eyelid ptosis caused by ageing can be corrected by addressing the stretched structures within the eyelid through either the skin or through the inside of the eyelid (transconjunctival). Ptosis surgery is often carried out alongside blepharoplasty to rejuvenate the upper eyelids.

Occasionally, ptosis can be caused by reasons other than ageing, such as neurological disease, muscle disease, trauma or masses in the eyelid. Your Oculoplastic Surgeon will be able to distinguish between the various causes, usually through examination, occasionally supported by investigations.



If you’d like to enquire about treatments for drooping eyelids in London, please contact us.

Watery eyes are a very common problem. The overflow of tears and constant dabbing leads to sore, red eyelid skin and can be a social embarrassment as well as interfering with vision.

Surprisingly, the most common cause of intermittent watery eyes is having dry eyes. Despite this seeming contradiction, the explanation is quite simple. The surface of your eyes needs to be kept moist to maintain healthy eyes with clear vision. Dry eyes can lead to ulceration and blurred vision. If your eyes become dry (which tends to occur more often with advancing age and specific disease processes) your eyes will intermittently over produce tears as a protective mechanism. We call this reflex hypersecretion. Your Ophthalmologist will be able to determine whether you suffer from reflex hypersecretion and offer treatment which may vary from artificial tear drops to occlusion of the tear drainage system.

Watery eyes are also often caused by obstruction of tear drainage. Tears normally drain through a channel in the upper and lower eyelids into the side of the nose then into the nose to be swallowed. An obstruction can develop anywhere along this pathway. Your Oculoplastic Surgeon will be able to determine if and where any obstruction has developed and recommend treatment which may vary from a minor operation to widen the opening of the tear drainage system in the eyelid to an operation to bypass the tear drainage system (DCR – dacryocystorhinostomy – surgery).

If you’d like to enquire about rapid access to treatment for watery eyes in London, please contact us.

Anti-wrinkle injections are extremely useful, in selected patients, to reduce signs of ageing. In addition to the anti-wrinkle effect, the injections can be used to lift eyebrows which can alleviate eyelid hooding, especially at the outer corners.

One of the most common concerns of patients is dark circles under eyes and/or hollowing in this area. Filler injections are very effective in managing this issue in carefully selected patients.

Mr Saha aims to offer you an honest, stress-free consultation that results in a bespoke solution to your problem.