Complications in Ophthalmic Plastic Surgery by Brian G. Brazzo

By Brian G. Brazzo

This multi-contributed textual content intends to fill a void in ophthalmic literature by way of taking a look into eyelid and lacrimal surgical procedure issues and their respective remedies. A wide diversity of ophthalmologists, together with citizens and common ophthalmologists, will enjoy the direct and concise insurance of the main often encountered tactics. Key thoughts and examples of problems & therapy, coupled with quite a few colour illustrations, will current the fabrics essentially to the reader. The textual content addresses problems and offers how one can establish, right, deal with and forestall adverse effects.

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Complications in Ophthalmic Plastic Surgery

This multi-contributed textual content intends to fill a void in ophthalmic literature by way of having a look into eyelid and lacrimal surgical procedure issues and their respective remedies. A vast variety of ophthalmologists, together with citizens and normal ophthalmologists, will enjoy the direct and concise insurance of the main in most cases encountered tactics.

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Prevention of this complication requires detailed presurgical evaluation and planning. If skin is removed and no horizontal lower eyelid laxity exists, the authors typically perform lateral canthal plication at the time of skin excision. If frank lower eyelid laxity exists, as determined by the snapback and distraction tests, then concomitant lateral canthal resuspension should be performed. Surgical technique may also help prevent lower eyelid retraction. In the past, surgeons advocated creating a “dog ear” inferiorly as the lower lid incision progressed laterally.

If mild ectropion develops, it can be treated with massage and topical steroids such as 1% hydrocortisone or fluorometholone ointment. 05% betamethasone, can also be used. Intralesional steroid injection of triamcinolone diacetate (10 mg/mL) is another option. Again the surgeon should be wary of atrophy and hypopigmentation from steroid use. A temporary tarsorraphy suture can be used. If possible, the surgeon should wait for the scar to mature. However if the ectropion is severe or has not improved despite the treatments recommended, surgical repair should be performed.

Alster TS, West TB. Effects of topical vitamin C on postoperative carbon dioxide resurfacing erythema. Dermatol Surg 1998;24:331. 14. Alster TS, Nanni CA. Famcyclovir prophylaxis of herpes simplex virus: reactivation after laser resurfacing. Dermatol Surg 1999;25:3. 15. Alster TS. Improvement of erythematous and hypertrophic scars by the 585 nm flashlamp-pumped pulsed dye laser. Ann Plast Surg 1994;32:186–190. BIBLIOGRAPHY Alster TS. Laser resurfacing of rhytids. In: Alster TS, ed. Manual of Cutaneous Laser Techniques.

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