Dr. E. James Langham, MD

Dr Langham is a Board-certified ophthalmologist who treats patients with a variety of ocular problems, including glaucoma and diabetes mellitus in our Oakland office. As a comprehensive ophthalmologist, he has expertise in cataract evaluation and in the optical correction of refractive errors. He has additional advanced training in the management of disorders which affect the eyelids, tear drainage system, and the orbit. Dr. Langham specializes in the surgical repair of eyelid malpositions like eyelid ptosis (droopy lids), of skin cancers around the eyes and of blocked tear ducts. He is an expert in reconstructing delicate eyelid tissue to restore normal appearance and improve function. Practicing in the East Bay for over thirty years, he is the most experienced oculoplastic surgeon in the Oakland area. Dr. Langham was awarded his medical degree from the University of Pennsylvania and completed his ophthalmology residency training at the University of California, San Francisco where he spent many years teaching eye surgery to resident physicians.

What is an Oculoplastic Surgeon? Dr James Langham MD

An oculoplastic surgeon is an ophthalmologist who has taken additional fellowship training to specialize in taking care of patients with problems of the eyelids, lacrimal system (tear system) and orbits (the bone structures of the face which protect the eyes). Typically one or two years long, this fellowship training prepared Dr. Langham to deal with the wide variety of oculoplastic problems patients in the East Bay develop.

What kinds of disorders does an Oculoplastic Surgeon deal with?

The common problems Dr. Langham would fix with surgery include nasolacrimal duct obstruction (a cause of excessive tearing), ectropion and entropion (out-turning and in-turning of the eyelid margin), ptosis of the eyelid (lid drooping, which can obstruct vision and cause eye fatigue), orbital bone fracture repair and removal of eyelid skin cancers and tissue reconstruction afterwards. Because of the sunny climate in Oakland and throughout the East Bay, skin cancers affecting the eyelids are likely more common here. (See our patient information brochure on “eyelid malpositions” for more information)

How would I know if I have skin cancer on my eyelid?

The definitive way to diagnose a skin cancer is with a tissue biopsy—removing a piece of the lesion for a pathologist to examine under a microscope. But there are warning signs which should prompt a visit to the ophthalmologist. Growth of an eyelid bump, persistently scaly skin on a portion of the eyelid, an itchy area of the lid or a spot that bleeds and won’t heal, or an area of the lid which is darkening from increased pigment—these are all warning signs of a possible skin cancer problem that should be evaluated promptly.