By Thomas C. Spoor
This booklet is a realistic, problem-orientated consultant to the administration of universal oculoplastic and orbital issues, and offers simplified ideas to advanced difficulties. this article covers higher and reduce eyelid surgical procedure and service in addition to orbital surgical procedure, and the prevention and remedy of strength problems. With brilliant color surgical images and illustrations, Atlas of Oculoplastic and Orbital surgical procedure is key analyzing for ophthalmologists, oculoplastic surgeons, neuro-ophthalmologists and plastic surgeons.
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Extra info for Atlas of Oculoplastic and Orbital Surgery
This recesses and elevates the lower eyelid. Place another graft in the defect suturing it to the surrounding tissue and adjacent graft. Tighten the eyelid with a tarsal strip variant as necessary and close the incision. 1 ENDURAGen (A) is an acellular porcine collagen that is pliable and easily cut into any pattern (B). 2 Patient one week after ENDURAGen implant to right lower eyelid. Note retraction of the other three eyelids (A). One week after ENDURAGen implant to left lower eyelid (B). Note mild overcorrection.
6A and B). Grasp the fascia with forceps, advanced and reattached it to tarsus with multiple interrupted sutures (Fig. 7A–C). Pass both arms of a double-armed suture through the capsulopalpebral fascia and advance it superiorly. Pass both arms through tarsus (Fig. 7B and C) and tie the suture. The temporal and nasal portions of the dehisced fascia may then be sutured to tarsus with interrupted sutures (Fig. 8). This turns the eyelid out and corrects the entropion. To improve the cosmetic result, remove the inferior orbital fat pads and excise a conservative amount of lower eyelid skin after repairing the entropion and tightening the eyelid (see chapter “Lower Eyelid Surgery”).
Do not operate on the eyelids without using an epinephrine-containing anesthetic. The cardiovascular risk is minimal as compared to the hemostatic advantage. Pass two or three double-armed absorbable or silk sutures through the center, nasal, and temporal portions of the lower eyelid from deep in the conjunctival fornix to the more anterior portion of the eyelid, exiting the skin surface just below tarsus (Figs. 4A–C). Each suture is tied over a cotton bolster (Figs. 4D–F). This effectively turns out the lower eyelid, obviating the entropion (Fig.
Atlas of Oculoplastic and Orbital Surgery by Thomas C. Spoor