Reconstructive surgery

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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Ectropion repair by medial spindle

May 16, 2019 by in Reconstructive surgery Comments Off on Ectropion repair by medial spindle

Table 26.1 Indications for surgery Vertical puncta Punctal eversion or ectropion Epiphora and foreign body sensation secondary to ectropion   Table 26.2 Preoperative evaluation Lower eyelid snap back test Lower…

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Endoscopic browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Endoscopic browplasty

Table 22.1 Indications for surgery Forehead rhytids Moderate brow ptosis Temporal hooding Facial nerve palsy with brow ptosis   Table 22.2 Preoperative evaluation Position of brow Age and gender of…

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Pretrichial browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Pretrichial browplasty

Table 23.1 Indications for surgery Forehead rhytids Brow ptosis below superior orbital rim Heavy brows with thick brow cilia Pre-existing supraciliary rhytids Paralytic eyebrow ptosis (CN VII palsy) High forehead…

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