OPHTHALMOLOGY

Lower Eyelid and Eyelash Malpositions

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Lower Eyelid and Eyelash Malpositions

Figure. 29.1 Sagittal section of the lower lid demonstrating the anterior, middle, and posterior lamellae. (With permission from Rodriguez ED. Volume 3: Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery. In:…

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Facial Nerve Palsy

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Facial Nerve Palsy

Figure 31.1 Facial nerve anatomy showing afferent and efferent pathways with target organs.  Table 31.2 Components of the Facial Nerve Type Component Function Efferent Branchial motor To supply the stapedius, stylohyoid,…

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Burns

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Burns

*Increasingly, early colloid infusion (generally 5% albumin) is being used in patients with very large burns, particularly if they are young or resuscitation is not going smoothly. It is the…

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Infantile Hemangiomas and Other Vascular Neoplasms

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Infantile Hemangiomas and Other Vascular Neoplasms

Figure 25.1 Conceptual dichotomies in vascular anomalies.  Table 25.1 Comparison of Hemangiomas and Vascular Malformations Hemangiomas Malformations Absent at birth Present at birth Independent life cycle Relentless progression Rapid proliferation (+…

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Infections of the Orbit and Ocular Adnexa

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Infections of the Orbit and Ocular Adnexa

Figure 10.1 Anterior infective seborrheic blepharitis.  Figure 10.2 Posterior blepharitis (meibomitis).  Figure 10.3 Advanced posterior blepharitis with inflammation and loss of Meibomian gland orifices and lashes.  Signs of bacterial superinfection include the following…

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Orbital Developmental Disorders

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Orbital Developmental Disorders

Figure 7.2 Congenital microphthalmia with a cyst.  Figure 7.1 Left anophthalmia with asymmetry and phimosis of eyelids.  In some cases, microphthalmia can present with a cyst, which ultimately may require a surgical…

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The Anophthalmic Socket and Complications

May 14, 2017 by in OPHTHALMOLOGY Comments Off on The Anophthalmic Socket and Complications

Figure 36.1 Extirpation method of Bartisch. (Reproduced from Bartisch G. Augendienst. 1583.) Figure 36.2 Examples of orbital implants from the past. A, This hollow plastic sphere is similar in appearance to the original…

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Lymphoproliferative Disorders

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Lymphoproliferative Disorders

Figure 15.1 Common lymphatic nodal and extranodal sites.  Ocular adnexal lymphoproliferative disorders (OALDs) comprise 10% of all extranodal disease and may involve any part of the orbital soft tissue, as well…

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Pathology

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Pathology

Figure 6.1 Keratoacanthoma of the eyelid. A, Low-power view shows the characteristic cup-shaped lesion with a keratin-filled crater, considered a well-differentiated variant of squamous cell carcinoma and an example of thickening…

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Clinical Evaluation and Disease Patterns

May 14, 2017 by in OPHTHALMOLOGY Comments Off on Clinical Evaluation and Disease Patterns

Figure 3.1 Right miotic pupil and ptosis in a 16 year old female with Horner syndrome dating from birth-related trauma. The slightly paler iris color confirms that onset was before 2…

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