Limited upper eyelid protractor myectomy

May 16, 2019 by in Reconstructive surgery Comments Off on Limited upper eyelid protractor myectomy

Table 33.1 Indications for surgery Eyelid closure from blepharospasm causing inability to perform activities of daily living Recalcitrant blepharospasm not responsive to maximally tolerated medical therapy, including neurotoxins   Table…

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Canthus sparing drill hole canthoplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Canthus sparing drill hole canthoplasty

Table 28.1 Indications for surgery Lateral canthal rounding/loss of almond-shaped eye Lateral canthal dystopia Shortened horizontal palpebral aperture, dynamic phimosis Lateral canthal surgery in conjunction with lower eyelid retraction repair…

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Epiblepharon repair

May 16, 2019 by in Reconstructive surgery Comments Off on Epiblepharon repair

Table 32.1 Indications for surgery Recurrent corneal abrasions, keratitis or infections Corneal scarring Visual impairment secondary to corneal compromise or astigmatism   Table 32.2 Preoperative evaluation Assess for degree of…

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Entropion repair by posterior tarsotomy

May 16, 2019 by in Reconstructive surgery Comments Off on Entropion repair by posterior tarsotomy

Table 31.1 Indications for surgery Cicatricial entropion with lashes abrading cornea Posterior lamellar scarring with transverse cicatricial bands Corneal erosions and foreign body sensation secondary to entropion   Table 31.2…

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Entropion repair by Wies procedure

May 16, 2019 by in Reconstructive surgery Comments Off on Entropion repair by Wies procedure

Table 30.1 Indications for surgery Upper or lower eyelid entropion – involutional or cicatricial Inversion of the eyelid margin Punctate epithelial erosions of the cornea Epiphora and foreign body sensation…

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Ectropion repair with full thickness skin grafting

May 16, 2019 by in Reconstructive surgery Comments Off on Ectropion repair with full thickness skin grafting

Table 27.1 Indications for surgery Symptomatic cicatricial ectropion (tearing, mucoid discharge, conjunctival keratinization, corneal exposure)   Table 27.2 Preoperative evaluation History of trauma (chemical/burns), prior cosmetic surgery, reconstructive surgery to…

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