By J. R. O. Collin MA MB Bchir FRCS FRCOphth DO
Transparent, step by step descriptions and targeted illustrations enable you to practice the various most ordinarily played eyelid methods, together with the latest aesthetic innovations. those are offered in a logical order with essentially defined symptoms to aid choose a selected operation in addition to a word of the most attainable issues. you can find new assurance of many issues together with ectropion adjustable sutures in ptosis surgical procedure, eyelid tumor administration and clearance, thyroid eye sickness, orbital implants and socket surgical procedure, new assurance of the administration of decrease lid blepharoplasty and extra. the best hands-on source of its sort, this best-selling guide offers you with the "how-to" had to produce optimum results.
- The most productive, hands-on source of its style.
- Provides step by step suggestions on lots of the in general played surgeries and strategies
- Clear line diagrams illustrate the entire systems defined.
- Systematically geared up for speedy and simple reference.
- New assurance of ectropion adjustable sutures in ptosis surgical procedure, eyelid tumor administration and clearance, thyroid eye ailment, orbital implants and socket surgical procedure, new insurance of the administration of decrease lid blepharoplasty and more.
Read Online or Download A Manual of Systematic Eyelid Surgery PDF
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Additional info for A Manual of Systematic Eyelid Surgery
Figure 3-10 shows a pachymetric map from a healthy patient (Figure 3-10A) and a patient with keratoconus (Figure 3-10B). Pachymetry information is useful in glaucoma assessment, as well as in screening refractive surgery candidates and estimating residual corneal bed thickness postoperatively. These data are invaluable when combined with the other maps to rule out keratoconus or forme fruste keratoconus. Figures 3-11 and 3-12 illustrate the subtle differences between the forme fruste keratoconus, true keratoconus, and pellucid marginal degeneration.
Tear Film The tear film of the eye covers the anterior surface of the cornea. It is composed of 3 separate layers: an anterior lipid layer, a middle aqueous layer, and a posterior mucin layer. 18 The lipid layer is produced by meibomian glands as a means by which to increase surface tension and therefore prevent evaporation of the aqueous layer. The aqueous layer is secreted by the main lacrimal glands and the accessory lacrimal glands of Wolfring and Krause and primarily serves to lubricate the corneal epithelium.
The corneal nerves serve 2 main functions. First, they provide protection by serving as the afferent portion of an aversion reflex in response to any contact with the corneal surface. Second, corneal nerves secrete trophic factors for the preservation of corneal health. If corneal nerves are damaged either by disease or trauma, the lack of adequate production of trophic factors could lead to neurotrophic keratitis, which is characterized by epithelial sloughing and impaired healing. CORNEAL OPTICS The cornea is the first structure that interacts with light as it is being transferred into the eye and contributes the greatest amount of refractive power.