Table 53.1 Indications for surgery Acquired nasolacrimal duct obstruction (NLDO) associated with: • Epiphora • Mucocele • Dacryocystitis (acute or chronic) Congenital NLDO failed probing and silicone stent placement Functional…
Introduction In this chapter, endoscopic dacryocystorhinostomy (DCR) is performed using an up-biting and down-biting 4 mm Kerrison ronguer for the bony osteotomy. The medial portion of the lacrimal sac is also…
Table 49.1 Indications for treatment Lateral canthal lines (“crow’s feet”) with smiling; lines are mostly or entirely gone in repose Inferior pretarsal orbicularis bunching (“jelly roll”) and narrowing of the…
Table 51.1 Indications for treatment Horizontal forehead rhytids that worsen with eyebrow elevation Lack of underlying brow ptosis, eyelid ptosis, or upper eyelid dermatochalasis Table 51.2 Preoperative evaluation Rule…
Table 52.1 Indications for surgery Symptomatic conjunctivochalasis affecting tear film and lacrimal outflow Non-resolving chemosis after eyelid surgery Table 52.2 Preoperative evaluation History of cicatrizing conjunctivitis (Stevens–Johnson syndrome/toxic epidermal…
Table 50.1 Indications for treatment Glabellar rhytides (“frown lines” or “elevens”) with animation Table 50.2 Preoperative evaluation Glabellar rhytids when the patient frowns Height and configuration of brows Presence…
Table 48.1 Indications for surgery Lower eyelid hollows without skin laxity or festoons Table 48.2 Preoperative evaluation Use of anticoagulants Prior fillers and neurotoxin use Assessment for lower eyelid…
Table 47.1 Indications for surgery Deep tear trough, skeletonization of the inferior orbital rim, malar depression Table 47.2 Preoperative evaluation Grade tear trough, skeletonization of inferior rim, cheek or…
Table 45.1 Indications for surgery Paralytic lagophthalmos Exposure keratopathy CN VII palsy Failing/exposed corneal transplant Neurotrophic cornea Recalcitrant corneal infections Debilitating corneal pain Table 45.2 Preoperative evaluation Presence of…
Table 46.1 Indications for surgery Paralytic lagophthalmos Exposure keratopathy CN VII palsy Symptomatic dry eye Table 46.2 Preoperative evaluation Presence of Bell’s phenomenon Degree of lagophthalmos Corneal epithelial staining…
