By Jeffrey A. Nerad MD, Keith D. Carter, Mark Alford
This name within the fast analysis in Ophthalmology sequence offers a wealth of full-color pictures - besides differential diagnoses - in side-by-side web page layouts to aid you in deciding on a whole variety of problems. A templated structure expedites entry to the assistance you must diagnose the most typical stipulations - from basic to advanced - encountered in practice.Coverage of the major gains, diagnostic standards, and treatment plans for Graves affliction, blepharoplasty, fractures, and eyelid tumors equips you with the most recent guidance.Hundreds of full-color pictures current stipulations as they found in genuine life.Common diagnostic pitfalls talk about what to appear out for while creating a tricky analysis. A templated, color-coded structure and differential prognosis containers for every assist you make speedy, actual medical decisions.A specialise in the most typical stipulations encountered in perform helps you to successfully formulate treatment options and referrals.
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Additional info for Rapid Diagnosis in Ophthalmology Series: Oculoplastic and Reconstructive Surgery (Rapid Diagnoses in Ophthalmology)
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17) • Usually located on lower eyelid (Fig. 18) • Lesions said to spontaneously involute • Surgical removal usually performed before allowing involution Ancillary Testing SECTION 2 • Disorders of the Eyelid: Lesions 40 • None Differential Diagnosis • Basal cell carcinoma • Squamous cell carcinoma Treatment • Excision of lesion • Send to pathology for definitive diagnosis Prognosis • Excellent—recurrences are rare Fig. 17 More advanced lesion (compared with that in Fig. 18) on left upper eyelid, with more keratin filling the central crater.
18) • Lesions said to spontaneously involute • Surgical removal usually performed before allowing involution Ancillary Testing SECTION 2 • Disorders of the Eyelid: Lesions 40 • None Differential Diagnosis • Basal cell carcinoma • Squamous cell carcinoma Treatment • Excision of lesion • Send to pathology for definitive diagnosis Prognosis • Excellent—recurrences are rare Fig. 17 More advanced lesion (compared with that in Fig. 18) on left upper eyelid, with more keratin filling the central crater.
Fig. 34 Tan to brown, evenly pigmented lesion with relatively smooth borders, typical of lentigo maligna. 59 Section 3 Disorders of the Eyelid: Eyelid Trauma Eyelid Laceration Involving the Margin 62 Eyelid Laceration Involving the Canaliculus 64 Eyelid Laceration Involving the Margin Key Facts • Lacerations of the eyelid margin require careful repair to ensure appropriate cosmesis and function • Usually due to direct trauma to eyelid margin, most commonly from: • sports injury • assault • accidental trauma • motor vehicle accidents • animal bite • Rule out associated ocular and orbital injuries Clinical Findings • • • • Ensure that tetanus status is up to date Suspect deep penetration into orbit if orbital fat visible Consider CT scanning to identify orbital fractures or foreign bodies Antibiotics (coverage for gram-positive and anaerobic bacteria) for dirty wounds Treatment SECTION 3 • Disorders of the Eyelid: Eyelid Trauma • Vertical mattress suture, 6-0 silk or 7-0 Vicryl (polyglactin), through the meibomian gland orifices, left untied • Lamellar sutures in tarsal plate (5-0 Vicryl sutures) • Additional one or two vertical mattress sutures anterior to the first • Orbicularis muscle and skin closure • Surgical complications: • visible scar • notching of the margin • lid retraction Prognosis • Excellent results are common when meticulous closure is performed Fig.