Oculoplasty: Innovative simpler techniques

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In addition to chapters on general functional oculoplastic topics, the author devotes chapters to basic medical photography and to the academic process of innovation. In comparison to other oculoplastic reference textbooks, Oculoplasty does not devote any of its content to new or emerging technologies nor to aesthetic oculoplastic surgery.

There are no references to evidence-based or outcomes-based medicine in its recommended treatment algorithms. It is not a step-by-step tutorial, nor is it an atlas. Although the author consistently provides long-term follow-up photographs of all of his case examples, the quality of the photographs is inconsistent with regard to lighting and focus. The accompanying DVD includes one video of the author's preferred acquired ptosis correction procedure without narration. As the book is written from the U. Overall, the book is easy to read and conveniently condensed into pages.

Most of the pathology presented in this book is rarely encountered by the general plastic surgeon. However, those plastic surgeons with practices involving substantial periorbital reconstruction may benefit from this book, as the author builds a convincing rationale for a less aggressive approach to periorbital reconstruction. This book is recommended as a supplemental reference to those with a strong fundamental understanding of oculoplastic techniques or those with a special interest in the history of oculoplastic surgery. You may be trying to access this site from a secured browser on the server.

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Separate multiple e-mails with a ;. Thought you might appreciate this item s I saw at Plastic and Reconstructive Surgery. Send a copy to your email. Some error has occurred while processing your request. Immunosuppression in the active inflammatory phase of thyroid eye disease is paramount in order to reduce the long-term sequelae of acute inflammation [17].

Antiproliferative immunosuppression with azathioprine may possibly confer additional benefit in adults with active moderate-to-severe thyroid eye disease associated with proptosis or ocular motility restriction, according to results from CIRTED, a multicentre, double-blind, randomised controlled trial conducted at six UK centres [18]. Teprotumumab is a human monoclonal antibody inhibitor of IGF-IR that blocks the induction of proinflammatory cytokines.

Results of a multicentre, randomised, placebo-controlled trial demonstrated that teprotumumab was more effective than placebo in reducing proptosis and the Clinical Activity Score [19]. This may prove to be a major change in the way active thyroid eye disease will be managed in the near future. Brow lifts, blepharoplasty, ptosis correction, removal of benign eyelid or skin lesions and procedures to treat watering eyes are often included on lists of procedures for which Clinical Commissioning Groups do not routinely provide funding.

Oculoplasty Innovative Simpler Techniques Bhattacharya S - Indian J Plast Surg

According to the Royal College of Ophthalmologists, prompt assessment and treatment is needed when there is a likelihood of malignancy, or where eyelid malposition threatens the ocular surface. There should also be provision for treatment where brow droop or ptosis reduce the field of vision to the point where the ability to drive is compromised. Oculoplastic centres should be photographing all cases pre- and postoperatively in a standardised manner and record baseline and post-treatment visual acuity, said Mr Malhotra. Ophthalmic trainees often voice concerns that they are not getting sufficient exposure to ptosis surgery cases for training purposes.

Training under supervision in ptosis surgery, while no longer a curriculum requirement for general ophthalmologists, is a good exercise in developing global skills in oculoplastics.

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Oculoplastic cadaveric courses offer advanced surgical training opportunities for oculoplastic fellows, senior trainees with an interest in oculoplastic surgery and consultants with an interest in oculoplastic surgery. It is one of the most technologically advanced surgical skills labs in the UK. The course is focused on anatomy, dissection and surgical techniques, with a high expert faculty to delegate ratio. Course contents include enucleation, evisceration and exenteration, techniques that all trainees should master. Patient-reported benefit from oculoplastic surgery. Eye Lond ; 26 11 Botulinum toxin injection for the treatment of epiphora in lacrimal outflow obstruction.

Eye Lond ; 29 5 A review on use of botulinum toxin for intractable lacrimal drainage disorders. Int Ophthalmol [Epub ahead of print].

Use of hyaluronic Acid gel for upper eyelid filling and contouring. Ophthal Plast Reconstr Surg ; 25 6 Morley AM, Malhotra R.

Use of hyaluronic acid filler for tear-trough rejuvenation as an alternative to lower eyelid surgery. Ophthal Plast Reconstr Surg ; 27 2 Lee S, Yen MT. Nonsurgical rejuvenation of the eyelids with hyaluronic acid gel injections. Semin Plast Surg ; 31 1 Non-aesthetic indications for periocular hyaluronic acid filler treatment: a review. Br J Ophthalmol [Epub ahead of print]. Orbit ; 35 6 Outcomes for severe aponeurotic ptosis using posterior approach white-line advancement ptosis surgery.

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Eye Lond ; 32 1 Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis. Eye Lond ; 31 12 Br J Ophthalmol ; 98 12 Improving outcomes of posterior approach levatorpexy for congenital ptosis with reduced levator function. Ophthal Plast Reconstr Surg [Epub ahead of print]. Late outcomes of gold weights and platinum chains for upper eyelid loading.

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Endoscopic dacryocystorhinostomy Interventional procedures guidance Pediatric endonasal dacryocystorhinostomy: A multicenter series of cases. Orbit ; 36 5 Frequency of simultaneous nasal procedures in endoscopic dacryocystorhinostomy.

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Ophthal Plast Reconstr Surg ; 30 1 Acute thyroid eye disease TED : principles of medical and surgical management. Eye Lond ; 27 3 Lancet Diabetes Endocrinol ; 6 4 Teprotumumab for thyroid-associated ophthalmopathy.

N Engl J Med ; 18 This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.

Innovations in oculoplasty

Read our Cookies Policy. Home Features Ophthalmology Developments in oculoplastic surgery. Share This. Periocular hyaluronic acid filler treatment for volume restoration Hyaluronic acid is a glycosaminoglycan that is present in body tissues, such as in skin and cartilage. Ptosis correction A review of surgical management of ptosis and the use of phenylephrine by British Oculoplastic Surgery Society BOPSS consultants showed that the majority of consultants will switch from anterior to posterior approach surgery when the phenylephrine test is strongly positive and will also perform bilateral surgery when a contralateral ptosis is induced with phenylephrine [8].

Posterior approach levatorpexy Posterior approach levatorpexy is a safe and effective procedure for correction of congenital ptosis. Thyroid eye disease Most cases of thyroid eye disease are managed effectively in the active inflammatory phase with systemic corticosteroids, and intervenous pulsed methyl predinisolone regimes have now transformed steroid management, reducing steroid-related side effects in these patients. Expansion of advanced oculoplastic cadaveric courses Brow lifts, blepharoplasty, ptosis correction, removal of benign eyelid or skin lesions and procedures to treat watering eyes are often included on lists of procedures for which Clinical Commissioning Groups do not routinely provide funding.

References 1. Originally Published.