Limbal Nodule
n unusual-looking nodule at the limbus should always lead you to suspect a malignancy, and it must be removed in toto. It is important to achieve clean margins when removing…
Tarsorrhaphy
acial palsy, which usually affects only one side of the face, is a primary indication for tarsorrhaphy. In facial palsy, the blink reflex is affected and the front surface of…
Cataracts and Capsulorrhexis
apsulorrhexis has been the most favored form of capsulotomy over the past two decades.1 Capsulorrhexis produces the strongest capsulotomy rim of any capsulotomy to date because it produces a continuous…
B: The Conjunctiva
y colleagues and I have successfully used the Fugo blade to remove a large nevus along the limbus of a 2-year-old patient. TECHNIQUE Anesthesia Administer general anesthesia. Surgical Technique At…
Entropion of the Upper Eyelid
rachoma is one of the most common causes of upper eyelid entropion and trichiasis. The corneal lesions result either as sequelae of eyelid deformity or from dryness of the eye…
Congenital or Acquired Punctal Atresia and Canaliculus Closure
he medial ends of both the superior and the inferior lids contain a punctum. The puncta are situated on a slightly elevated platform, called the “lacrimal papillae,” and face posteriorly,…
Dysfunction of the Meibomian Glands
he term anterior blepharitis refers to inflammation of the eyelashes and follicles. Posterior blepharitis refers to meibomian gland dysfunction. Blepharitis often is associated with systemic diseases such as rosacea, as…
Sebaceous Cyst
sebaceous cyst is caused by obstruction of the gland of Zeiss, the meibomian gland, or the sebaceous glands associated with the hair follicles of the eyelid. Sebaceous cysts are solid…
The Origins of the Fugo Blade
fter receiving my PhD in neurophysiology and biophysics, I pursued my medical degree in ophthalmology at Hahnemann University in Philadelphia. Upon graduating in 1979, I started my private practice in…
