Oculoplastics

The Oculoplastic Service at the Millennium Park Eye Center provides evaluations for patients needing upper eyelid retraction, blepharospasm, epiphora and other lacrimal disorders, blepharoptosis, tumors of the ocular adnexa and orbit, blowout fractures of the orbital floor, and many similar problems. The service also offers consultations for cosmetic injectables such as Botox™, Restylane™ and Juvéderm™

Pete Setabutr, M.D. joined his mentors, Allen Putterman, M.D. and Amjad Ahmad M.D., at the Oculoplastic Service of the Illinois Eye and Ear Infirmary after completing the world renowned Puttermamn Oculoplastic and Reconstructive Surgery Fellowship at UIC. He is one of a select group of physicians to complete this prestigious fellowship. Dr. Setabutr specializes in pediatric eyelid ptosis and cosmetic eyelid surgery. His clinical specialties include conditions affecting the eyelids, eyebrows, orbital tissues, and lacrimal (tear) system.

Dr. Setabutr and his team are committed to providing the highest standard of care in the heart of Chicago on Michigan Avenue.

To schedule a consultation with Dr. Setabutr, please call 312-996-2020 today.

Physician

PETE SETABUTR, MD

Dr. Pete Setabutr is an Assistant Professor of Oculoplastics and Reconstructive Surgery at the University of Illinois College of Medicine. His clinical interests include diseases related to the eyelids and orbit. Dr. Setabutr served as Chief Resident at the University of Texas medical school, and was awarded the Robert D. Moreton, M.D., Award for being an Outstanding Resident in Ophthalmology. His research interests include diseases related to the eyelids and orbit.

Services Offered

Eyelid Surgery
Ptosis (Droopy Upper Eyelid):
Ptosis is the medical term for droopy eyelids. It can falsely portray an aged or tired appearance and can even affect vision. There are several causes including congenital anomalies, muscle or nerve disorders, injury, and age. Ptosis repair normally requires surgery, which is typically done in an outpatient setting.

Blepharoplasty (Cosmetic Eyelid Surgery):
Blepharoplasty is a common aesthetic procedure that refers to the removal of excess skin and tissue from the upper and/or lower eyelids. The goal of the procedure is to give a more refreshed and well rested appearance.

Malposition of Eyelid (Eyelid that Turns In or Out):
Eyelids or eyelashes that turn inward towards the eye is a condition called entropion. Ectropion describes a condition in which the eyelid turns outward away from the eye. Chronic eye irritation, excessive tearing, and pain are common complaints with these conditions. Surgical and non-surgical treatments are available for both depending on the patient and circumstance.

Eyelid & Skin Cancers (Diagnosis, Treatment and Reconstruction)
Skin cancers often can be seen on the eyelids. Care must be taken when treating such conditions, so as to maintain the structural integrity of the eyelid and, therefore, protect the eye. Reconstruction of the eyelids and upper face after Mohs' or other skin cancer surgery is performed using specialized skin flaps, cartilage grafts, fat grafts or synthetic tissue grafts.

Tearing
Excessive tearing is a common symptom that can be very irritating. The cause of tearing is multifactorial. It is usually the result of either faulty tear drainage or excessive production of tears. Faulty tear drainage can be the result of a blocked "tear duct," an infection in the "tear drainage" system, or improper position of the eyelids. Management is usually surgical but an evaluation to determine this is needed.

Orbit Surgery
The orbit (eye socket or area and bones around the eye) is susceptible to a variety of diseases. Symptoms can include pain, double vision and protrusion of the eye.

Timely evaluation of orbital problems is important. This can include a CT or MRI scan as well as a thorough examination. Occasionally, a biopsy is needed for diagnosis.

Orbital Tumors
Cancer of the orbit is a rare and potentially serious condition. While not all tumors of the orbit are malignant, appropriate and expert evaluation and treatment is of utmost importance.

Orbital Inflammatory Syndromes
Numerous inflammatory syndromes may affect the orbit including, but not limited to, Orbital Inflammatory Syndrome (OIS), Wegener's Granulomatosis, and Sarcoidosis. These conditions may cause pain, double vision, loss of vision, protrusion of the eye or cause problems with other parts of the eye including glaucoma and corneal disease.

Graves' Eye Disease (GED)/ Thyroid Related Orbitopathy (TRO)
Graves' disease is caused by an autoimmune process. Autoimmune disease may be understood as a process by which the body sees some part of itself as being foreign and overreacts to itself. In the case of Graves' disease, the body sees the thyroid gland as the foreign object and produces antibodies that attack the thyroid gland. This will often (but not in all cases) cause the thyroid gland to become over active.

TRO is currently believed to be due to a similar autoimmune reaction. However, in the case of TRO, different antibodies attack the muscles associated with eye and eyelid movement. The antibodies that attack the eye can cause inflammation and swelling of the muscles around the eye.

TRO may be managed with observation, eye drops, oral medications, radiation or surgery to expand the orbit, fix the muscles of the eye, or reposition the eyelids. TRO is a complex condition that may require the attention of a specialist.

Enucleation(Prosthetic Eyes)
The term "enucleation" refers to the surgical removal of the eye. It is performed when an eye has either poor or no vision and has become painful or cosmetically unacceptable. Occasionally, enucleation is performed to remove an eye with a malignant tumor, such as choroidal melanoma or retinoblastoma. The eye is removed and replaced by a round implant which fills the volume of the orbit. The eye muscles are often attached to the implant, which allows for movement of the prosthetic eye. After the orbit has had time to heal, an ocularist fits a prosthetic eye. Usually, the patient is comfortable and a good fit is obtained with the prosthesis.

Cosmetic Injectables

Botox™:
Botox™ is used to reduce the appearance of lines or wrinkles around the eyes and face. BOTOX® Cosmetic works by relaxing the muscles and the skin for a smooth appearance. The effect usually lasts for three to six months.

Restylane™:
Restylane® is a non-animal-based filler used to diminish facial wrinkles and folds. Restylane® works by restoring volume in these areas. Restylane® is made of hyaluronic acid, a substance that exists in your body.

Juvéderm™:
Juvedérm™ is a dermal filler which also helps reduce facial wrinkles and folds such as smile lines and marionette lines. Juvedérm™ is made from hyaluronic acid which is a naturally-occurring substance found in your body. It is the first hyaluronic acid dermal filler the FDA has. Results typically lasts six months or longer.

Hours and Phone Numbers:

Clinic Hours: Monday - Thursday 8:30 am - 5:00 pm
Appointment Desk Phone: (312) 996-2020
Fax Number: (312) 346-5292

Things to bring to your appointment:

Photo identification
HMO authorization
Insurance card
Names and dosages of any current medications
Glasses/contact lenses/prosthesis

Insurance information:

We accept Medicare Assignment and we participate in many managed care contracts (HMO/PPO)
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