2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 12: Periocular Malpositions and Involutional Changes
This chapter includes related videos. Links to individual videos are provided within the text; a page containing all videos in Section 7 is available at www.aao.org/bcscvideo_section07.
Highlights
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Proper treatment of ectropion and entropion of the eyelids requires accurate identification of the underlying cause of the malposition.
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Successful blepharoptosis repair requires correct diagnosis, thorough understanding of eyelid anatomy, thoughtful planning, and good surgical technique.
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Important clinical measurements for evaluation of a patient with blepharoptosis include margin–reflex distance, vertical palpebral fissure height, upper eyelid crease position, levator function, and presence of lagophthalmos.
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Chemodenervation with botulinum toxin is the mainstay of treatment for benign essential blepharospasm, with surgical myectomy considered in refractory cases.
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Treatment options for brow ptosis include browpexy, direct eyebrow elevation, endoscopic forehead-lift, and pretrichial brow-lift.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.