Eyelid reconstruction – anterior lamella

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Eyelid reconstruction – anterior lamella

Introduction The eyelids have two lamellae – an anterior lamella of skin and orbicularis muscle and a posterior lamella of tarsal plate and conjunctiva. Partial-thickness defects of the lid or…

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Ptosis

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Ptosis

Introduction More than any other oculoplastic surgery ptosis surgery depends on a thorough understanding of eyelid anatomy. Particular care must be taken in the assessment because not all ptosis should…

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Entropion

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Entropion

Introduction Entropion of the upper or lower eyelids causes pain and leads eventually to corneal scarring. The changes occur more rapidly if there is also a poor tear film. Classification:…

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Miscellaneous conditions

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Miscellaneous conditions

Epicanthus and/or telecanthus Choice of operation Correct large epicanthic folds with a Mustardé double Z -plasty ( 18.1 ). Smaller folds may be corrected with the simpler Y – V…

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The anophthalmic socket

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on The anophthalmic socket

Introduction Enucleation and evisceration reduce the volume of the tissues within the orbit. To achieve a cosmetic result this volume must be replaced. A large artificial eye may appear satisfactory…

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Ectropion

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Ectropion

Introduction Neglected ectropion leads to epiphora and secondary cicatricial changes in the skin. A vicious circle is set up which is increasingly difficult to reverse the longer surgery is delayed….

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Evisceration, enucleation, exenteration

Sep 8, 2018 by in OPHTHALMOLOGY Comments Off on Evisceration, enucleation, exenteration

Introduction The emotional distress which frequently accompanies the removal of an eye is reduced considerably by a cosmetic final result. The appearance of the prosthesis will be enhanced and its…

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