Orbital Decompression
Orbital Decompression Michael Richard, MD DISEASE DESCRIPTION Thyroid eye disease causes a lymphocytic infiltration of orbital muscle and fat with resultant expansion of these tissues from edema and deposition of…
Surgical Approaches to the Orbit
Surgical Approaches to the Orbit E. Jason Sabet-Peyman, MD DISEASE DESCRIPTION The orbit is a conical unit consisting of the subperiosteal, intraconal, and extraconal spaces. There are a variety of…
Evaluation of the Orbit
Evaluation of the Orbit Paul S. Riske, MD INTRODUCTION A patient presenting with orbital disease requires a thorough and often multidisciplinary approach to determine the cause of the illness. It…
Endoscopic Dacryocystorhinostomy
Endoscopic Dacryocystorhinostomy Matthew Ellison, MD DISEASE DESCRIPTION Nasolacrimal duct obstruction in adults is generally due to chronic fibrosis of the duct mucosa, likely from inflammation. Other causes include injury, neoplasm,…
Conjunctivodacryocystorhinostomy
Conjunctivodacryocystorhinostomy Christopher L. Weller, MD DISEASE DESCRIPTION Canalicular obstruction can result from a variety of mechanisms including trauma, infection, retained punctal plugs, systemic inflammatory diseases, and certain chemotherapeutic agents including…
External Dacryocystorhinostomy
External Dacryocystorhinostomy Meseret E. Kassa, MD, MMed, FEACO INDICATIONS FOR SURGERY Epiphora from primary acquired nasolacrimal duct obstruction (NLDO) Epiphora resulting from secondary acquired NLDO Midface trauma Sinus disease or…
Trauma to the Lacrimal System
Trauma to the Lacrimal System Pradeep Mettu, MD DISEASE DESCRIPTION Trauma to the lacrimal system can occur from a variety of mechanisms, including sharp and blunt trauma. In cases of…
Congenital Nasolacrimal Duct Obstruction
Congenital Nasolacrimal Duct Obstruction Ryan E. Davis, MD* *The views expressed are those of the author and do not reflect the official views or policy of the Department of Defense…
Flaps and Grafts
Flaps and Grafts E. Sabet Jason-Peyman, MD DISEASE DESCRIPTION Periocular defects resulting from surgical excision of carcinoma or traumatic injuries may need to be repaired using a variety of flap…
Evaluation of the Tearing Patient
Evaluation of the Tearing Patient Chris Haggerty, MD DISEASE DESCRIPTION Epiphora is often a multifactorial problem. Tearing, as a symptom, results from an imbalance between tear production and tear clearance….
