Advances in Eye Surgery by Patricio A. Pacheco

By Patricio A. Pacheco

It is a complete, functional guidebook that offers a transparent assessment and replace of present sleek options of ocular surgical procedure. The chapters might be of curiosity to a large viewers. The chapters are written by means of specialists with designated curiosity and wide medical adventure within the subject matters.

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Lower eyelid laxity can also produce eyelash misdirection. In order to correct eyelash misdirection, there are a series of options depending on the underlying cause. When laxity of the eyelid is present, lateral canthoplasty can be a good option. A transverse tarsal incision with marginal rotation is a simple way to change the direction of the eyelashes. If there is a shallow fornix, a silicone band to reform the fornix is a suitable option, but if there is a moderate to severe contraction of the fornix, fornix deepening will require grafts that may be harvested from the hard palate, ear cartilage, or contralateral upper lid tarsus.

Four sclerotomies performed with scissors 10. 9. Gently pull the four petals out of the socket so the implant can be placed as deep as possible using a Carter sphere introducer or your fingers. The further the implant enters the orbit, the easier it will be to bring the four petals anterior to the implant. Because the petals are independent from each other and from the optic nerve, the sclera can cover any size of implant without tension. The vertical petals are sutured to each other in front of the implant using a continuous 5/0 absorbable suture.

With a scalpel blade (number 11 or 15) or with an electrocautery, incise the skin in an elliptical fashion trying to follow the inner surface of the orbital rim (Figure 21). 5. Dissect under the skin until you reach the periorbita with scissors or with the electrocau‐ tery. We strongly recommend to have a bayonet bipolar cautery forceps and a suction device before entering the subperiosteal space (Figure 22). 39 40 Advances in Eye Surgery Figure 21. Frontal view of implant wrapped in scleral petals with attached rectus muscles Figure 22.

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