Reconstructive surgery

Enucleation and orbital implant placement

May 16, 2019 by in Reconstructive surgery Comments Off on Enucleation and orbital implant placement

Table 73.1 Indications for surgery Blind and painful eye Sympathetic ophthalmia prophylaxis after uveal prolapse Intraocular malignancy (e.g. choroidal melanoma, retinoblastoma) Phthisis bulbi with disfigurement and blind eye from multiple…

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Orbital exenteration

May 16, 2019 by in Reconstructive surgery Comments Off on Orbital exenteration

Table 74.1 Indications for surgery Malignant primary orbital tumors Malignant eyelid and ocular adnexal tumors with orbital extension Malignant orbital tumors extending from the cranium or paranasal sinuses Malignant intraocular…

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Optic nerve sheath fenestration

May 16, 2019 by in Reconstructive surgery Comments Off on Optic nerve sheath fenestration

Table 71.1 Indications for surgery Vision-threatening papilledema refractory to maximal medical therapy   Table 71.2 Preoperative evaluation History of medication use associated with idiopathic intracranial hypertension (IIH) – oral contraceptives,…

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Reposition of prolapsed lacrimal gland

May 16, 2019 by in Reconstructive surgery Comments Off on Reposition of prolapsed lacrimal gland

Table 70.1 Indications for surgery Discomfort over lateral orbit Cosmetically displeasing lateral fullness Rule out lacrimal gland malignancy/pathology   Table 70.2 Preoperative evaluation History of pain and/or paresthesia over lateral…

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Orbital fracture repair

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

Table 67.1 Indications for surgery Enophthalmos (>2 mm) Extraocular muscle entrapment with diplopia Hypoglobus Oculocardiac reflex Large floor fracture (>50%)   Table 67.2 Preoperative evaluation Exophthalmometry readings Extraocular muscle movements and…

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