Elements of the Immune System and Concepts of Intraocular Inflammatory Disease Pathogenesis

Key Concepts T cells play an important role in the pathogenesis of uveitis. The eye is very active immunologically, with ocular resident cells interacting with the immune system. Uveitogenic antigens are expressed in the eye, and immunization of animals with these antigens induces experimental uveitis, which resembles human uveitis in many aspects. Acknowledgments The author thanks Dr. Igal Gery for his extensive review of and input…

Foundations of oculofacial plastic surgery

Introduction Oculofacial surgery is a unique specialty that combines aspects of ophthalmology, general plastic surgery, head and neck surgery, dermatology, neurological surgery, and craniofacial surgery. With advances in endoscopic and small incis… Introduction Oculofacial surgery is a unique specialty that combines aspects of ophthalmology, general plastic surgery, head and neck surgery, dermatology, neurological surgery, and craniofacial surgery. With advances in endoscopic and small incision techniques, many…

Enucleation, Evisceration, Exenteration, and Care of the Eye Socket

Videos ■ 16.1 Blind Painful Eye: Phthisis; Enucleation with MedPor Implant ■ 16.2 Blind Painful Eye: Enucleation with MedPor Ball Implant and Lateral Tarsal Strip ■ 16.3 Blind Painful Eye: Evisceration ■ 16.4 Conjunctival Squamous Cell Carcinoma with Orbital Invasion: Exenteration Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction For many ophthalmologists, the enucleation of an eye is the…

Surgical Approaches to the Orbit

Videos ■ 15.1 Anterior Orbitotomy: Optic Nerve Sheath Fenestration ■ 15.2 Anterior Orbitotomy: Lacrimal Gland Biopsy ■ 15.3 Anterior Orbitotomy: Lateral Dermoid Excision ■ 15.4 Anterior Orbitotomy – Medial Dermoid Excision ■ 15.4 Anterior Orbitotomy: Conjunctival Lipodermoid Excision ■ 15.5 Transconjunctival Anterior Orbitotomy: Orbital Lipodermoid Excision ■ 15.6 Anterior Orbitotomy Using Vertical Lid Split for a Superior Orbital Mass ■ 15.7 Anterior Orbitotomy for Removal of…

Diagnostic Approach to the Patient with Proptosis

Videos ■ 14.1 Proptosis ■ 14.2 Upper Eyelid Recession for Thyroid Eye Disease Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Orbital problems are sometimes seen in ophthalmology practice, but most are uncommon. My goal for this chapter is to provide a good foundation in approaching the patient with a proptotic eye. It isn’t possible to diagnose every orbital…

Eyelid and Orbital Trauma

Videos ■ 13.1 Eyelid Trauma: Upper Eyelid Margin Repair ■ 13.2 Chainsaw Injury: Eyelid Laceration Repair ■ 13.3 Blowout Fracture: Floor Repair With Implant ■ 13.4 White-Eyed Blowout Fracture: Floor Repair Without Implant ■ 13.5 White-Eyed Blowout Fracture: Medial Wall Repair Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction You are likely to see a variety of trauma patients,…

Eyelid Reconstruction

Videos ■ 12.1 Myocutaneous Advancement Flap: Lower Eyelid Reconstruction ■ 12.2 Repair of Mohs Defect Using Split Thickness Skin Graft ■ 12.3 Mohs Excision Lower Eyelid Repair; Eyelid Margin Repair ■ 12.4 Primary Lid Margin Repair: Canthotomy and Cantholysis ■ 12.5 Lower Eyelid Reconstruction Using the Tenzel Flap ■ 12.6 Hughes Flap for Lower Eyelid Reconstruction ■ 12.7 Hughes Tarsoconjunctival Flap Take Down ■ 12.8 Melanoma…

Diagnosis of Malignant and Benign Lid Lesions Made Easy

Videos ■ 11.1 Chalazion Incision and Drainage ■ 11.2 Eyelid Lesion Biopsy Techniques ■ 11.3 Lid Lesion Quiz: Benign or Malignant? Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Periocular skin lesions are commonly seen in practice. It is easy to get lost in this chapter, so read this introduction carefully. It gives you an overview of the information…

Diagnosis and Management of the Patient with Tearing

Videos ■ 10.1 Three-Snip Punctoplasty ■ 10.2 Canaliculitis: Three-Snip Punctoplasty ■ 10.3 Nasolacrimal Duct Probing ■ 10.4 Nasolacrimal Duct Probing with Silicone Stent Placement ■ 10.5 Lacrimal Fistula Excision ■ 10.6 External Dacryocystorhinostomy ■ 10.7 Acquired Nasolacrimal Duct Obstruction: Endoscopic Dacryocystorhinostomy ■ 10.8 Epiphora and Nasolacrimal Duct Obstruction: Endoscopic Dacryocystorhinostomy ■ 10.9 Canalicular Obstruction: Jones Tube Placement ■ 10.10 Canalicular Tear (Dog Bite) Repair Using Mini…

Abnormal Movements of the Face

Videos ■ 9.1 Facial Spasms ■ 9.2 Lateral Tarsorrhaphy ■ 9.3 Medial Tarsorrhaphy ■ 9.4 Eyelid Weight Implantation ■ 9.5 Paralytic Ectropion, Facial Nerve Palsy: Cheek Lift, Lateral Tarsal Strip, and Medial Tarsorrhaphy Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction As we do for most of our human functions, we take facial movements for granted. Quick, complete, and…

Evaluation and Treatment of the Patient with Ptosis

Videos ■ 8.1 Acquired Blepharoptosis: Levator Aponeurosis Advancement ■ 8.2 Upper Blepharoplasty and Anterior Ptosis Repair ■ 8.3 Blepharoptosis Repair: Conjunctival Müller Muscle Resection (CMMR) ■ 8.4 Blepharoplasty and Conjunctival Müller Muscle Resection (CMMR) ■ 8.5 Frontalis Sling for Poor Function Congenital Ptosis ■ 8.6 Congenital Ptosis, Poor Function—Frontalis Sling: Silicone Rod ■ 8.7 Frontalis Sling Operation Using a Silicone Rod Suspension for Apraxia of Eyelid…

Aesthetic Surgery of the Periocular Region and Face

Videos ■ 7.1 Cosmetic Botox Injection ■ 7.2 Filler Injection for Facial Rejuvenation ■ 7.3 CO 2 Laser Resurfacing ■ 7.4 Lower Transcutaneous Blepharoplasty Technique ■ 7.5 Upper Blepharoplasty and Lower Transconjunctival Blepharoplasty ■ 7.6 Pretrichial Forehead Lift ■ 7.7 Brow Ptosis: Transeyelid Endobrowplasty ■ 7.8 Coronal Forehead Lift Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Aesthetic surgery…

Involutional Periorbital Changes: Upper Eyelid Dermatochalasis and Eyebrow Ptosis

Videos ■ 6.1 Upper Blepharoplasty: Colorado Needle ■ 6.2 Upper Blepharoplasty: CO 2 Laser ■ 6.3 Direct Browplasty: Temporal Direct and Complete Direct ■ 6.4 Midforehead Browplasty Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction In this chapter, we begin our discussion of the aging changes of the face. In particular, we deal with the functional changes that affect…

Diagnosis and Management of Misdirected Eyelashes

Video ■ 5.1 Misdirected Eyelashes: Wedge Resection Upper Eyelid Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Trichiasis is said to exist when the eyelashes are misdirected against the eye . Trichiasis is often seen in practice. Patients complain of a foreign body sensation. Discharge or conjunctival injection is rarely present. Let’s preview what is discussed in this chapter.…

Diagnosis and Treatment of Entropion

Videos ■ 4.1 Entropion Repair, Retractor Reinsertion, and Lateral Tarsal Strip ■ 4.2 Spastic Entropion Repair: Quickert Sutures ■ 4.3 Tarsal Fracture Procedure ■ 4.4 Cicatricial Entropion Mucous Membrane Graft Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Entropion of the eyelid occurs when the lid margin inverts or turns against the eyeball ( Figure 4.1 ). The keratinized…

Diagnosis and Treatment of Ectropion

Videos ■ 3.1 The Lateral Tarsal Strip Procedure ■ 3.2 Ectropion Repair: Lateral Tarsal Strip and Medial Spindle ■ 3.3 Floppy Eyelid Syndrome: Pentagonal Wedge Resection ■ 3.4 Full Thickness Skin Grafting for Cicatricial Ectropion Repair Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Ectropion of the eyelid occurs when the lid margin everts or turns away from the…

Clinical Anatomy

Video ■ 2.1 Eyelid , Nasolacrimal , and Orbital Anatomy Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Expertise in oculoplastic and orbital surgery starts with anatomy. Learning anatomy can be very difficult—remembering it is even harder. It is easy to get bogged down in the details before you know why a particular anatomic feature is important in taking…

The Art of Surgical Technique

Videos ■ 1.1 Surgical Instruments: Using the Tools of Your Trade Effectively – Part A , Part B ■ 1.2 Sutures and Suturing Technique Visit Expert Consult ( expertconsult.inkling.com ) for videos on topics discussed throughout the text. Introduction Welcome! I hope that this book will add to your success in the clinic and operating room. It is my pleasure and honor to make any contribution…

Vision screening

What is screening? “Screening is the systematic application of a test or inquiry identifying individuals at sufficient risk of a specific disorder to benefit from further investigation or direct preventative action, amongst other individuals who have not [yet] sought medical attention.” In ophthalmology, healthy children are impacted primarily by amblyopia, strabismus, cataracts, and uncorrected refractive error. Screening can detect each of these disorders. The need for…