Conjunctival Incisions and Muscle Isolation Tanya Glaser, MD PREOPERATIVE CONSIDERATIONS All strabismus surgery requires an incision through the conjunctiva and Tenon capsule to allow access to the extraocular muscles in…
The Basics Lucas Bonafede, MD ANATOMY1,2 (FIG. 42.1) All the extraocular muscles except the inferior oblique muscle originate from the orbital apex. The inferior oblique muscle originates from the anterior…
Pediatric Ptosis Repair: Muller Muscle Conjunctival Resection Paramjit K. Bhullar, MD Jason A. Liss, MD PREOPERATIVE CONSIDERATIONS Select Appropriate Patients Muller muscle conjunctival resection is uncommonly performed in children. Procedure…
Pediatric Ptosis Repair: Blepharophimosis Syndrome Michael J. Richard, MD Blepharophimosis syndrome is a rare disorder either inherited as an autosomal dominant trait or occurring sporadically. The major findings of the…
Pediatric Ptosis Repair: Levator Resection Meghan S. Flemmons, MD PREOPERATIVE CONSIDERATIONS Levator resection may be performed if there is fair to good levator function. This is determined by measuring upper…
Pediatric Ptosis Repair: Frontalis Suspension Roshni Ranjit-Reeves, MD Frontalis suspension is the procedure of choice for patients with significant ptosis with poor levator function (Fig. 38.1). Often, it is performed…
Enucleation Arthika Chandramohan, MD, MPH Dilraj S. Grewal, MD Prithvi Mruthyunjaya, MD, MHS PREOPERATIVE CONSIDERATIONS Indications for enucleation in children are rare, but most commonly include the following1: Blind, painful…
Epiblepharon Repair Michelle T. Cabrera, MD PREOPERATIVE CONSIDERATIONS In an eye with lower lid epiblepharon, identify whether the patient has been symptomatic from trichiasis. If possible, perform a careful slit…
Tarsorrhaphy Michelle S. Go, MD PREOPERATIVE CONSIDERATIONS When deciding whether or not the patient needs a tarsorrhaphy, it is helpful to think of the reasons for corneal decompensation. If the…
Lid Lesions Alice A. Lin, MD PEDIATRIC LID LESIONS Preoperative Considerations One of the main preoperative considerations with pediatric lid lesions is whether there is need for surgical treatment at…
