Table 69.1 Indications for surgery Intractable recurrent epistaxis secondary to: • Coagulopathy • Vascular malformations such as hereditary hemorrhagic telangiectasia (Osler–Weber–Rendu syndrome) • Neoplasm • Naso-orbital trauma Table 69.2…
Table 64.1 Indications for surgery Disfiguring proptosis Compressive optic neuropathy unresponsive to maximally tolerated medical therapy Exposure keratopathy unresponsive to maximally tolerated medical therapy Preparation for strabismus surgery with large…
Table 65.1 Indications for surgery Maximal orbital decompression Need for access to the intraconal space In combination with a medial and lateral orbitotomy approach for lesions near the orbital apex…
Table 63.1 Indications for surgery Punctal stenosis Symptomatic epiphora Table 63.2 Preoperative evaluation Probing and irrigation of canaliculi and lacrimal system Assess for co-existent punctal ectropion Rule out any…
Table 62.1 Indications for surgery After removal of lesion overlying punctum For reconstruction of the eyelid after removal of the proximal lacrimal system from cancer surgery To promote healing of…
Table 61.1 Indications for surgery Primary canaliculitis resistant to medical management (digital massage, warm compresses, targeted topical or oral antimicrobials, and repeated irrigation) Secondary canaliculitis resistant to plug removal and…
Table 59.1 Indications for surgery Symptomatic epiphora secondary to canalicular obstruction or canalicular atresia Intractable epiphora in the setting of failed prior lacrimal bypass procedures Intractable epiphora in the setting…
Introduction In this chapter, endoscopic dacryocystorhinostomy (DCR) with the use of an osteotome is presented. For indications and preoperative evaluation, refer to Chapter 53 . The osteotome is a useful…
Table 57.1 Indications for surgery Symptomatic epiphora from nasolacrimal duct obstruction Primary dacryocystorhinostomy (DCR) failure Table 57.2 Preoperative evaluation Endonasal examination to identify cause of DCR failure: • Scarring…
Table 58.1 Indications for surgery Symptomatic epiphora with failed prior dacryocystorhinostomy Common canalicular obstruction Table 58.2 Preoperative evaluation Elicit prior surgical history; method of prior DCR – endonasal or…
