2014-2015 Basic and Clinical Science Course (BCSC): Section by American Academy of Ophthalmology, John Bryan Holds MD

By American Academy of Ophthalmology, John Bryan Holds MD

Info the anatomy of the orbit and adnexa, and emphasizes a realistic method of the review and administration of orbital and eyelid issues, together with malpositions and involutional adjustments. Updates present info on congenital, inflammatory, infectious, neoplastic and disturbing stipulations of the orbit and accent buildings. Covers key elements of orbital, eyelid and facial surgery.

Upon of completion of part 7, readers might be capable to:

Describe the traditional anatomy and serve as of orbital and periocular tissues
Choose acceptable exam recommendations and protocols for diagnosing problems of the orbit, eyelids, and lacrimal system
Describe practical and beauty symptoms within the surgical administration of eyelid and periorbital stipulations

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Extra resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 7: Orbit Eyelids and Lacrimal System

Sample text

Kersten RC. The eyelid crease approach to superficial lateral dermoid cysts. J Pediatr Ophthalmol Strabismus. 1988;25(1):48-51. Shields JA, Kaden IH, Eagle RC Jr, Shields CL. Orbital dermoid cysts: clinicopathologic correlations, classification, and management. Ophthal Plast Reconstr Surg. 1997;13(4) :265-276. ;ts :ie th x- Oermo/ipomas re Dermolipomas are solid tumors usually located beneath the conjunctiva over the globe's lateral surface (Fig 3-4). These benign lesions may have deep extensions that can extend to the levator and extraocular muscles.

Less commonly, the clinical presentation may be orbital inflammation, which is incited by leakage of oil and keratin from the cyst. Expansion of the dermoid cyst and inflammatory response to leakage may result in an orbitocutaneous fistula, which may also occur following incomplete surgical removal. Management Dermoid cysts are usually removed surgically. Because dermoids that present in childhood are often superficial, they can be excised through an incision placed in the upper eyelid crease or directly over the lesion.

The patient should be treated in consultation with a prima1·y care physician. llin) and nasal decongestants (such as oxymetazoline nasal spray), in cases of associated sinusitis, are typically effective therapy; this approach is chosen if the examination of the child is reliable and follow-up examinations can be ensured. Hospitalization and intravenous (IV) antibiotics (such as ceftriaxone and vancomycin) are indicated if the cellulitis progresses despite outpatient therapy, as cases of preseptal infection can progress to orbital cellulitis.

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