By Jonathan Dutton MD PhD

Unlike different books of its sort, the hot Atlas of Oculoplastic and Orbital Surgery bargains distinct, step by step directions from preliminary pores and skin marking and lower to ultimate closure for greater than ninety generally played oculoplastic, lacrimal, and orbital surgical procedures. every one step additionally incorporates a matching representation inverted to house the surgeon’s genuine place throughout the surgery.


In addition to transparent guideline, the textual content for every surgical procedure covers preoperative overview discussions, postoperative care directions, and the way to prevent and deal with capability complications.


FEATURES

• greater than 1,000 designated colour illustrations

• textual content and matching representation are offered side-by-side for simple reference

• Key issues support reader plan the main applicable operation and reduce complications

• Surgeons can keep on with every one step and practice the technique whether they aren’t accustomed to it.

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Extra resources for Atlas of Oculoplastic and Orbital Surgery

Sample text

In ections and hypersensitivities o the eyelids. In: Smith BC, Delia Rocca RC, Nesi FA, Lisman RD, eds. Ophthalmic Surgery. Vol 1. St. Louis, MO: Mosby-Year Book; 1987. Unal M. Chalazion treatment. Orbit. 2008;27:397– 398. 25 3 Chalazion Incision and Drainage, Transcutaneous Approach INDICATIONS: Chronic chalazion granuloma with the major portion pointing anterior to the tarsus and acute internal hordeola pointing toward the skin and not responding to medical therapy. FIG. 1. Place a chalazion clamp over the eyelid margin with the solid backing plate on the conjunctival surface.

11. Drape the skin–muscle ap upward, over the lower eyelid incision line, and ask the patient to look upward to estimate the amount of vertical skin to be resected. Do not remove more skin than necessary. Rarely will more than 4 to 5 mm o vertical skin have to be excised. Cut the excess skin–muscle ap with scissors. FIG. 12. Pull the ap temporally and slightly upward on slight tension to overlap the lateral skin incision. Mark and cut of the redundant lateral triangular ap. Cauterize any bleeding points along the cut muscle sur aces.

FIG. 2. Make a vertical incision through the conjunctiva and the posterior tarsal abscess wall. If possible, the incision should not extend closer than 2 to 3 mm to the eyelid margin. FIG. 4. Remove the cyst contents completely with a chalazion curette. Explore for loculated pockets toward the eyelid margin, being careful not to injure eyelash follicles. Excise the residual brous cyst capsule with scissors. Lightly hyfrecate the cavity walls, if necessary, to promote hemostasis. Remove the clamp and leave the wound open for continued drainage.

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