Dr. Roshmi Gupta

Narayana Nethralaya Bangalore, India

1 article

Dr Roshmi Gupta had her initial training at LV Prasad Eye Institute, followed by further training at John Moran Eye Center, University of Utah, USA and Plastic Eye Surgery Associates, Texas Medical Center, USA. She started the first exclusive oculoplasty practice in Karnataka in 2004, in Narayana Nethralaya. Fourteen years and several thousand patients later she heads the department of Ophthalmic Plastics, Orbital disease and Ocular Oncology at Narayana Nethralaya, the largest service in Karnataka. Her areas of interest include orbital disease, ocular oncology and aesthetic surgery. She has presented extensively as faculty at multiple national and international meets, and published more than 30 text book chapters, articles and instruction videos. She has received best video and best orbit paper awards at Oculoplasty Association of India, Raman Mittal best paper award at OPAI and Sujata Savitri Rao Best Paper award at AIOS.

  1. Articles 1 Apr 2021 13 min read

    Entropion And Ectropion

    Entropion is the turning inward of the eyelid margin. Unlike ectropion, it is symptomatic and injures the ocular surface. The patient seeks medical care early. Ectropion is an eyelid malposition in which the eyelid margin does not oppose the globe. We shall discuss the relevant anatomy and clinical examination for the two entities together. Relevant Anatomy The eyelid can be grossly divided into Anterior lamella composed of skin and orbicularis Posterior lamella composed of tarsus and conjunctiva Factors contributing to the stability of the lower eyelid Appropriate horizontal tension of the lower lid so that the eyelid is apposed to the eyeball. This is supplied by the medial and lateral canthal tendons. Lower lid retractors applying appropriate tension to the inferior margin of the tarsus, pulling the lower edge of the tarsus inferiorly, and thus preventing the lid margin from turning inward as in entropion, or outward as in ectropion. Synchronous movement of the inferior rectus and l