By David T. Tse MD
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This sourcebook has been created for sufferers who've determined to make schooling and Internet-based examine a vital part of the therapy method. even though it supplies details precious to medical professionals, caregivers and different future health execs, it additionally tells sufferers the place and the way to seem for info masking almost all subject matters concerning transplantation, from the necessities to the main complicated components of analysis.
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Extra resources for Color Atlas of Oculoplastic Surgery
Chronic irritation of the cornea may lead to localized thinning or vascularization, with risk of subsequent ulceration or perforation. MECHANIS M OF CRYODESTRUCTION A double freeze-thaw method with thermocouple monitoring of tissue temperature if available to −20°C has been most effective in the treatment of aberrant lashes. Two cycles of rapid freezing with iceball formation, followed by a slow thaw, induce 39 40 SECTION 3 EYELID AND BROW SURGERY destruction of the thermally sensitive lash follicles, while allowing recovery of the relatively resistant conjunctiva, tarsus, skin, and lacrimal outﬂow apparatus.
This suture is not tied but le ft long until the previously place d Vicryl suture s on the tarsal plate are tie d. The lame llar tarsal sutures are the n tie d, drawing the tarsal e dges into ﬁrm apposition. The suture e nds are cut on the knots. The 6–0 ve rtical mattre ss silk suture is tie d at the lid margin. The se suture s are le ft long. A second 6–0 silk suture is passe d in an inte rrupted fashion through the lash follicles, e nte ring and e xiting 2 mm from the lace rated e dge . The long e nds of the lid margin suture are the n drape d ove r and tie d into the lash follicle suture .
The vein then passes beneath the superior rectus to enter the superior orbital ﬁssure and cavernous sinus. The inferior ophthalmic vein has a more variable course, starting as a diffuse venous plexus on the ﬂoor of the orbit and extending posteriorly to the superior ophthalmic vein or to the pterygoid plexus. In addition, the venous system may drain anteriorly into the facial vein, depending on the pressure gradient of the venous channels. Fundamental Techniques in Ophthalmic Plastic Surgery 2 Marcos T.