Orbit

Oct 20, 2016 by in OPHTHALMOLOGY Comments Off on Orbit

Orbit 7.1 Orbital Disease This section provides a framework to evaluate a variety of orbital disorders. Symptoms Eyelid swelling, bulging eye(s), and double vision are common. Pain, decreased visual acuity,…

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Eyelid

Oct 20, 2016 by in OPHTHALMOLOGY Comments Off on Eyelid

Eyelid 6.1 Ptosis Symptoms Drooping upper eyelid, visual loss often worse with reading and at night. Concerning associated symptoms include diplopia, headache, and neck pain. Signs (See Figure 6.1.1.) Critical….

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Trauma

Oct 20, 2016 by in OPHTHALMOLOGY Comments Off on Trauma

Trauma 3.1 Chemical Burn Treatment should be instituted IMMEDIATELY, even before testing vision, unless an open globe is suspected. NOTE: This includes alkali (e.g., lye, cements, plasters, airbag powder, bleach,…

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Differential Diagnosis of Ocular Signs

Oct 20, 2016 by in OPHTHALMOLOGY Comments Off on Differential Diagnosis of Ocular Signs

Differential Diagnosis of Ocular Signs Anterior Chamber/Anterior Chamber Angle Hyphema Traumatic, iatrogenic (e.g., intraocular surgery or laser), iris neovascularization, herpes simplex or zoster iridocyclitis, blood dyscrasia or clotting disorder (e.g.,…

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Differential Diagnosis of Ocular Symptoms

Oct 20, 2016 by in OPHTHALMOLOGY Comments Off on Differential Diagnosis of Ocular Symptoms

Differential Diagnosis of Ocular Symptoms Burning More Common. Blepharitis, meibomitis, dry eye syndrome, conjunctivitis (infectious, allergic, mechanical, chemical). Less Common. Corneal defects (usually marked by fluorescein staining of the cornea),…

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Nerve Blocks 101

Sep 23, 2016 by in OTOLARYNGOLOGY Comments Off on Nerve Blocks 101

Nerve Blocks 101 In a 1998 article titled “How to Block and Tackle the Face”1, I presented a system for facile nerve blocks that would allow the surgeon to be…

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Intranasal

Sep 23, 2016 by in OTOLARYNGOLOGY Comments Off on Intranasal

Intranasal The purpose of these dissections relates to two subjects: 1 The relation and course of the nasolacrimal apparatus into the nose. 2 How to perform a sphenopalatine (pterygopalatine) ganglion…

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Some Thoughts on the Orbicularis Oculi

Sep 23, 2016 by in OTOLARYNGOLOGY Comments Off on Some Thoughts on the Orbicularis Oculi

Some Thoughts on the Orbicularis Oculi HOW TO APPROACH THE MEDIAL ORBITAL WALL FOR FRACTURE OR DECOMPRESSION 1 The lower orbicularis oculi muscle is attached to the orbital rim medially…

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Superomedial Zone

Sep 23, 2016 by in OTOLARYNGOLOGY Comments Off on Superomedial Zone

Superomedial Zone 1 The corrugators, proceri, and frontalis muscles are innervated by the frontal (temporal) branches of the facial nerve on each side. The depressor supercilii and medial orbicularis oculi…

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