Lateral orbitotomy with rim removal
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…
Snip punctoplasty
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…
Silicone stent intubation with pigtail probe
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…
Treatment of canaliculitis
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…
Endoscopic conjunctivodacryocystorhinostomy
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…
Endoscopic dacryocystorhinostomy with osteotome
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…
Endoscopic dacryocystorhinostomy with intranasal flap suturing
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…
Endoscopic dacryocystorhinostomy with balloon dacryoplasty
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…
Bicanalicular intubation with silicone stent
Table 60.1 Indications for surgery Functional nasolacrimal duct obstruction Partial nasolacrimal duct obstruction Congenital nasolacrimal duct obstruction (after failed probing) After removal of lesion overlying punctum For reconstruction of the…
Endoscopic revision of failed dacryocystorhinostomy
Table 56.1 Indications for surgery Symptomatic epiphora secondary to failed dacryocystorhinostomy History of acute dacryocystitis Excessive mucoid discharge secondary to chronic dacryocystitis Sump syndrome after DCR surgery Table 56.2…
