Temporal Artery Biopsy
David T. Tse Temporal arteritis is a systemic disorder affecting medium and large arteries, primarily within the region of the head and neck. It is a disease of the elderly,…
Orbital Decompression
Orbital Decompression John V. Linberg SURGICAL INDICATIONS Orbital Graves’ disease The majority of orbital decompression procedures are performed for the treatment of dysthyroid orbital Graves’ disease. Most patients with orbital…
Evisceration
28 Evisceration David T. Tse Evisceration is a surgical procedure in which the entire intraocular contents are removed and the scleral shell is left in situ. Evisceration can be performed…
Lower Eyelid Blepharoplasty
11 Lower Eyelid Blepharoplasty Alfred C. Marrone PREOPERATIVE EVALUATION As essentially all lower lid blepharoplasty procedures are performed for cosmetic reasons, the most important aspect of the preoperative evaluation is…
Punctoplasty
22 Punctoplasty Steven M. GilbergDavid T. Tse Acquired epiphora is a common complaint that requires a logical clinical and anatomic approach to both its understanding and management. Tearing is due…
Chemical and Laser Skin Resurfacing
37 Chemical and Laser Skin Resurfacing Jemshed A. KhanMichael S. McCracken INTRODUCTION The human face is a dynamic tool important in communication. Beyond conveying emotion, it also serves to highlight…
Tarsorrhaphy
17 Tarsorrhaphy David T. Tse Tarsorrhaphy is the surgical fusion of upper and lower eyelid margins to narrow the palpebral fissure. It is usually performed to provide protection to the…
Upper Eyelid Blepharoplasty
10 Upper Eyelid Blepharoplasty Russell S. Gonnering PREOPERATIVE EVALUATION The Periorbital Relaxation Syndrome The majority of patients who present to the ophthalmologist for correction of “fullness” of the upper eyelids…
Nasolacrimal Duct Probing and Intubation
Nasolacrimal Duct Probing and Intubation Kevin R. ScottDavid T. Tse Embryologically, the nasolacrimal drainage system develops from an invagination of surface ectoderm, which originates in the naso-optic fissure. Canalization occurs…
