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Tarsorrhaphy
MAR 31, 2022
Tarsorrhaphy.
A,
The eyelid is split 2–3 mm deep.
B,
Epithelium is carefully removed along the upper and lower eyelid margins; the lash follicles are avoided.
C,
The raw surfaces are then joined with absorbable sutures.
Image
0
261
Stevens-Johnson syndrome
MAR 31, 2022
Stevens-Johnson syndrome with conjunctival scarring and eyelid margin keratinization.
Image
0
342
Hering’s law of equal innervation
MAR 31, 2022
Unmasking of right upper eyelid ptosis (
arrow
) with elevation of ptotic left upper eyelid, demonstrating the effect of Hering’s law of equal innervation.
Image
0
159
Involutional entropion
MAR 31, 2022
Involutional entropion of the right lower eyelid.
Image
0
107
Acquired lacrimal drainage obstruction
MAR 31, 2022
Right hemolacrima in a patient with lacrimal sac neoplasm.
Image
0
67
Congenital punctal aplasia
MAR 31, 2022
Congenital punctal aplasia.
Image
0
29
Nontuberculous mycobacterial infection
MAR 31, 2022
A patient presents with delayed infection of the left upper eyelid by nontuberculous (atypical) mycobacteria after blepharoplasty.
Image
0
8
Dye disappearance test
MAR 31, 2022
Physiologic evaluation of tearing with the dye disappearance test. On the right side, normal lacrimal outflow is present, whereas on the left side, drainage is impaired.
Image
0
16
Dermis-fat graft
MAR 31, 2022
Dermis-fat graft in the left anophthalmic socket.
Image
0
16
Lacrimal intubation stents
MAR 31, 2022
Lacrimal intubation stents.
A,
Self-retaining bicanalicular lacrimal stent with a rigid insertion device.
B,
Monocanalicular stent with a soft barb and collarette, which secure the stent within the punctum.
Image
0
95
Conjunctivodacryocystorhinostomy
MAR 31, 2022
Conjunctivodacryocystorhinostomy. A, The surgical tract is enlarged with a gold dilator. B, The Jones tube is introduced into the tract using a Bowman probe as a guide. C, External view of well-positioned Jones tube. D, Endoscopic view of well-positioned Jones tube.
Image
0
20
Eyelid retraction
MAR 31, 2022
Bilateral upper eyelid retraction in thyroid eye disease.
A,
Preoperative appearance.
B,
Same patient after upper eyelid retractor recession.
Image
0
27
Repair of cicatricial ectropion
MAR 31, 2022
Repair of cicatricial ectropion. A, Preoperative appearance. B, Release of vertical cicatricial traction and placement of full-thickness skin graft in association with lateral canthal tightening. C, Immobilization of skin graft with Frost suture. D, Final appearance after sk…
Image
0
17
Brow ptosis
MAR 31, 2022
Brow ptosis causing functional impairment in the patient’s peripheral visual field.
Image
0
26
Microphthalmia
MAR 31, 2022
Right microphthalmic orbit. Three-dimensional computed tomography (CT) reconstruction shows a hypoplastic right orbit with microphthalmia.
Image
0
3
Papillary squamous cell carcinoma
MAR 31, 2022
Papillary squamous cell carcinoma of the right lacrimal sac. A, Palpable mass over the right lacrimal sac (arrow). B, Magnetic resonance imaging scan shows a mass within the right lacrimal sac (arrow). C,(/b> Incisional biopsy through an external approach. D, Lacrimal sac bi…
Image
0
19
Tarsal fracture operation
MAR 31, 2022
Tarsal fracture operation.
A,
Tarsotomy.
B,
Margin rotation for cicatricial entropion.
Image
0
39
Granulomatosis with polyangiitis
MAR 31, 2022
CT scans of a patient with granulomatosis with polyangiitis with bilateral orbital involvement (
red arrows
) and secondary nasolacrimal duct obstruction (
yellow arrows).
Image
0
3
Lacrimal drainage system
MAR 31, 2022
Normal anatomy of the lacrimal drainage system. The measurements given are for adults.
Image
0
130
Slit inferior punctum
MAR 31, 2022
Slit inferior punctum caused by tight intranasal fixation of a bicanalicular lacrimal stent
(arrow).
Image
0
33
Inferior puncta
MAR 31, 2022
Inferior puncta. Punctum with normal caliber (
arrow
) on the right
(A)
, and an abnormally large punctum (
arrow
) on the left
(B).
Image
0
14
Sump syndrome
MAR 31, 2022
Sump syndrome.
A,
Sump syndrome resulting from inadequate superior bone removal during dacryocystorhinostomy.
B,
Treatment involves removing additional bone inferiorly.
Image
0
29
Cellulitis, infectious inflammation
MAR 31, 2022
A patient with preseptal cellulitis of the right upper eyelid with formation of a localized abscess. The eye remains quiet with no chemosis or proptosis.
Image
0
28
Trichiasis
MAR 31, 2022
Trichiasis of the right upper eyelid.
Image
0
65
Acute dacryocystitis
MAR 31, 2022
Acute dacryocystitis of the right side associated with NLDO.
Image
0
442
Lower eyelid tightening
MAR 31, 2022
Lower eyelid tightening. A, Lateral stretching of the eyelid demonstrates the potential of lower eyelid tightening. B, Lateral tarsal strip procedure: anchoring the tarsal strip to periosteum inside the lateral orbital rim. C, Medial spindle procedure: outline of excision of…
Image
0
39
Complete blockage of canaliculus
MAR 31, 2022
Lacrimal irrigation through the inferior canaliculus shows complete reflux through the superior canaliculus (
arrow
), indicative of a complete NLDO (hard stop is noted along the medial wall of the lacrimal fossa).
Image
0
21
Endoscopic intranasal anatomy
MAR 31, 2022
Endoscopic intranasal anatomy (
left side
). Note the septum
(A),
middle turbinate
(B)
, and area of mucosa and bone to be removed to expose the lacrimal sac
(C)
. The superior portion of the inferior turbinate is visible at the bottom
(D).
Image
0
9
Rotational suture repair
MAR 31, 2022
Rotational suture repair of spastic entropion.
Image
0
28
Worm's-eye view
MAR 31, 2022
“Worm’s-eye view” position. Note enophthalmos of the right eye.
Image
0
4
Endoscopic forehead-lift
MAR 31, 2022
Endoscopic forehead-lift.
A,
Location of incisions.
B,
After periosteal release, the scalp is retracted posteriorly and fixated in the 2 paracentral incisions with a fixation screw, drilled bone tunnel, or absorbable implant.
Image
0
38
Active thyroid eye disease
MAR 31, 2022
Active thyroid eye disease (TED) in a patient demonstrating bilateral chemosis, conjunctival injection, and caruncular edema.
Image
0
91
Mechanical ptosis
MAR 31, 2022
Mechanical ptosis.
A,
Chalazion of the left upper eyelid causing mechanical ptosis.
B,
Ptosis is improved after incision and drainage of the chalazion.
Image
0
64
Rhytidectomy
MAR 31, 2022
The common goal of rhytidectomy procedures is modification of the superficial musculoaponeurotic system (SMAS) that translates to changes in the overlying anatomy. After release of the SMAS (dotted line), the SMAS is pulled laterally and superiorly for elevation of the jowls…
Image
0
4
External dacryocystorhinostomy
MAR 31, 2022
External dacryocystorhinostomy (DCR). A, The incision is marked 10 mm from the medial canthus, starting just above the medial canthal tendon and extending inferiorly. B, Bone from the lacrimal fossa and anterior lacrimal crest has been resected. Flaps have been fashioned in…
Image
0
273
Thyroid eye disease
MAR 31, 2022
A patient with TED demonstrates bilateral upper and lower eyelid retraction, proptosis, and lateral flare.
Image
0
48
Facial nerve palsy
MAR 31, 2022
Right facial nerve palsy resulting in paralytic ectropion and absent lacrimal pump function.
Image
0
17
Additional canalicli
MAR 31, 2022
Congenital accessory canaliculi
(arrows) of the right lower eyelid.
Image
0
7
Retractor repair of entropion
MAR 31, 2022
Retractor repair of lower eyelid involutional entropion.
A,
Transcutaneous approach.
B,
Transconjunctival approach.
Image
0
54
Punctal dilatation
MAR 31, 2022
Punctal dilatation.
A,
Initial insertion of the punctal dilator is perpendicular to the eyelid margin.
B,
Next, with lateral countertraction on the eyelid, the dilator is directed horizontally into the canaliculus.
Image
0
40
Restrictive strabismus
MAR 31, 2022
Restrictive strabismus causing marked esotropia in a patient with relative enlargement of the right medial rectus muscle.
Image
0
9
Chronic canaliculitis
MAR 31, 2022
Chronic canaliculitis.
A,
Superior and inferior pouting puncta.
B,
Vertical canaliculotomy.
C,
Expression of canaliculi with cotton-tip applicators.
D,
Sulfur granules expressed from canaliculi seen with
Actinomyces israelii.
Image
0
13
Evaluation of ptosis
MAR 31, 2022
Evaluation of ptosis. Patient appearance and example of a ptosis data collection sheet.
Image
0
91
Cervicoplasty
MAR 31, 2022
Cervicoplasty.
A,
Undermining of the skin.
B,
Platysmaplasty.
Image
0
11
Pretrichial brow- and forehead-lift
MAR 31, 2022
Pretrichial incision for forehead and brow elevation. The plane of dissection is the subcutaneous layer
Image
0
12
Pleomorphic adenoma
MAR 30, 2022
Pleomorphic adenoma (benign mixed tumor) of the left eyebrow.
Image
0
2
Xeroderma pigmentosum
MAR 30, 2022
Xeroderma pigmentosum with an ulcerated basal cell carcinoma
(arrow).
Image
0
171
Rhomboid flap
MAR 30, 2022
Reconstruction of lateral canthal defect with rhomboid flap. A, Lateral canthal defect after excision of squamous cell carcinoma. B, Rhomboid flap marking. C, Transposition of flaps after tissue undermining. D, Postoperative result 6 months after surgery.
Image
0
17
Morpheaform tumor
MAR 30, 2022
Madarosis of the right lower eyelid with morpheaform variant of basal cell carcinoma.
Image
0
2
Xanthelasmas
MAR 30, 2022
Xanthelasmas of the lower eyelids.
Image
0
2
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