By Patricio A. Pacheco
This can be a complete, useful guidebook that offers a transparent evaluation and replace of present glossy thoughts of ocular surgical procedure. The chapters might be of curiosity to a large viewers. The chapters are written by means of specialists with distinct curiosity and vast medical adventure within the subject matters.
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Additional info for Advances in Eye Surgery
Orbital cysts They manifest as pain or pressure sensation or even only increased difficulty to fit the artificial eye. Cysts may grow if conjunctival epithelium is incarcerated after wound closure or when there is epithelial ingrowth in wound dehiscence . Management options are complete surgical excision, marsupialization, absolute alcohol injection, or trichloroacetic acid (TCA) injection . 4. Lower eyelid malposition When the eye is enucleated, the disruption of the fibrous framework of the orbit may result in the rotation of the orbital contents inferiorly and anteriorly.
In order to simplify its management, we can classify it into the following: Mild socket contracture. When the posterior lamella shortens, the lashes rotate inward and entropion develops. There is a decrease of the inferior fornix causing a prolapse of the inferior pole of the prosthesis. A transverse tarsal incision with marginal rotation is the initial treatment of choice . There is usually a lower eyelid horizontal laxity too. When there is enough conjunctiva, a lateral canthal tendon procedure associated to a fornix reformation procedure should be performed.
This will condition the implant selection. The most frequent cause of enucleation in pediatric age is retinoblastoma. There has been a special concern whether to place an implant in these orbits due to the difficulties in the followup and the detection of tumor recurrence with an orbital implant in place. However, once it was observed that orbits in children with no orbital implants did not develop appropriately, the decision to implant was taken. Normal face and bony orbit growth depends on the orbital soft tissue contents.