• This Current Insight outlines current evidence supporting surgical management strategies for trachomatous trichiasis.
    Current Insight
    By Catherine J. Hwang, MD; Raymond S. Douglas, MD, PhD
    Graves disease is a multisystem autoimmune disease targeting the thyroid, orbit and skin. Clinically detectable thyroid-associated ophthalmopathy (TAO) occurs in approximately 10 to 45 percent of patients with Graves disease1 with manifestations ranging from mild ocular surf…
    Current Insight
    By Philip L. Custer, MD
    The insertion of an implant is an integral part of the enucleation procedure. There are different benefits and risks associated with each type of anophthalmic implant, of which there is no style that is most ideal for every case. Modification of surgical technique may be nee…
    Current Insight
    By Andrew R. Harrison, MD; Edward W. Lee, MD
    Facial nerve palsy is a commonly encountered problem in ophthalmology practice. The severity of symptoms affecting the eye can vary significantly. Some patients will require only treatment with occasional artificial tears, whereas others will require multiple surgeries to ad…
    Current Insight
    By Carol L. Shields, MD
    Conjunctival melanoma is a rare but potentially deadly ocular malignancy.1,2 It is well known to masquerade for months or years as a red spot on the eye or as focal conjunctivitis that is resistant to topical medications. It can be clinically confused with more common condit…
    Current Insight
    By Alastair Carruthers, MD; Jean D. A. Carruthers MD, FRCSC, F.R.C.
    Introduction According to information published in 2007, the number of cosmetic procedures performed has increased 446% in the past decade. Nearly 3.2 million procedures were performed with botulinum toxin type A (BoNTA) and another 1.6 million procedures were performed with…
    Current Insight
    By Nariman S. Boyle, MD; Eli L. Chang, MD
    Orbital FracturesFractures of the orbit are often encountered by surgeons who manage trauma. The magnitude of fractures within the orbit may vary considerably. Simple fractures such as the common blowout fracture may involve only a portion of the internal orbit. More extensi…
    Current Insight
    By David A. Weinberg, MD, FACS; Roshmi Gupta, MD
    Dacryocystorhinostomy (DCR) is a procedure utilized for symptomatic acquired nasolacrimal duct obstruction (NLDO) due to stenosis of the nasolacrimal duct or, less commonly, dacryoliths. DCR is also used for congenital NLDO when probing and irrigation, silicone intubation, o…
    Current Insight
    By Shimon Rumelt, MD
    While Graves’ orbitopathy (GO) may manifest in several ophthalmic conditions including proptosis, limited ocular motility, disfigurement, corneal exposure, and optic neuropathy, elevated intraocular pressure (IOP) is not a commonly discussed problem associated with GO even t…
    Current Insight
    By Eli L. Chang, MD
    More surgeons are turning towards orbital decompression surgery as a means for addressing the severe disfigurement caused by thyroid orbitopathy (TRO), even when the disease is not vision threatening. This has occurred because of the improved safety profiles that have result…
    Current Insight
    By Michael T. Yen, MD
    Over the past 15 years, the development of small incision endoscopic techniques has revolutionized aesthetic brow lifting. Compared with direct brow lifting or open forehead lifting, endoscopic brow and forehead surgery is associated with higher patient acceptance, better ae…
    Current Insight
    By C. Robert Bernardino, MD
    Traditionally, the gold standard for treatment of periocular skin malignancies has been complete surgical excision regardless of tumor type (Ophthalmology. 2001;108:2088-2100). This works well in cases where a central eyelid tumor is well circumscribed. In these instances, t…
    Current Insight
    By Geva Mannor, MD
    Since its approval by the United States Food and Drug Administration (FDA) for cosmetic purposes, botulinum toxin A (Botox and BotoxCosmetic) has become the most frequently used treatment for cosmetic procedures. Of the many clinical applications that have been developed for…
    Current Insight
    By Aaron Fay, MD
    The emergence of multidisciplinary vascular anomalies teams over the past decade has advanced understanding and revolutionized management of vascular lesions. Most common among these lesions is the juvenile hemangioma, known to ophthalmologists as the “capillary hemangioma.”…
    Current Insight