By Brian G. Brazzo
This multi-contributed textual content intends to fill a void in ophthalmic literature by means of taking 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 assurance of the main ordinarily encountered strategies. Key thoughts and examples of issues & therapy, coupled with a variety of colour illustrations, will current the fabrics in actual fact to the reader. The textual content addresses problems and provides how you can determine, right, deal with and forestall adverse effects.
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Extra resources for Complications in Ophthalmic Plastic Surgery
Ectropion may develop after excessive anterior lamella excision. This complication can be prevented if the surgeon asks the patient to look superiorly and open the mouth, while the surgeon ballots the globe before excising skin. Careful attention to technique should prevent postoperative eyelid malposition. If the lateral canthal tendon remains lax in the postoperative period, the patient is at higher risk of developing eyelid retraction or ectropion. In some cases, if one tendon becomes dehisced, eyelid asymmetry may appear, and one palpebral fissure may appear smaller than the other (Fig.
Instead, the tissue is allowed to heal, and resurfacing can be done approximately 4 weeks afterward. The patient’s degree of pigmentation plays an extremely important role in laser resurfacing. com sun exposure or other conditions, including melasma. Patients with darker skin types exhibit a higher incidence of both hyperpigmentation and hypopigmentation. Conversely, extremely light-skinned patients may be more prone to develop prolonged erythema postoperatively. Hormonal changes during pregnancy can vary the amount of pigmentation, and resurfacing in women who are pregnant is contraindicated.
Microbial infections usually begin before full reepithelialization is complete. 14 Since bacterial, viral, or fungal pathogens are all potential etiologies, prompt and accurate diagnosis and aggressive treatment are important to reduce scarring and further dissemination. 3–5 Postinflammatory hyperpigmentation usually surfaces approximately 5 weeks after laser surgery. One-third of all patients experience pigmentary changes. 9 Pigmentary changes, though usually transient, can be prolonged and quite noticeable.