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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Three wall orbital decompression

May 16, 2019 by in Reconstructive surgery Comments Off on Three wall orbital decompression

Table 64.1 Indications for surgery Disfiguring proptosis Compressive optic neuropathy unresponsive to maximally tolerated medical therapy Exposure keratopathy unresponsive to maximally tolerated medical therapy Preparation for strabismus surgery with large…

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Snip punctoplasty

May 16, 2019 by in Reconstructive surgery Comments Off on 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…

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Treatment of canaliculitis

May 16, 2019 by in Reconstructive surgery Comments Off on 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…

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