Abstract:
PURPOSE:To determine by a survey of ophthalmic plastic surgeons with specific expertise in blepharoplasty surgery the perceived role of Schirmer testing and other evaluation features in determining patient predisposition to postoperative dry-eye complaints. METHODS:A literature review of tear production tests was performed. An anonymous survey was mailed to all members of the American Society of Ophthalmic Plastic and Reconstructive Surgery. The survey included questions on practice patterns, the role of different objective tests, and the occurrence of postblepharoplasty dry-eye or exposure complaints. RESULTS:Forty-eight percent (263 of 544) of those surveyed responded. All responding physicians perform a clinical history and examination to preoperatively evaluate for dry eye, 36% perform no additional tear production tests, 33% perform a test if indicated by signs or symptoms, 29% always perform a test, and 1% perform a test only if multiple procedures were planned. Schirmer testing with anesthetic is the predominant test used by physicians who perform tear production tests (89%), followed by Schirmer test without anesthetic (10%), and phenol red thread test (1%). Nevertheless, 74% of physicians felt that Schirmer testing should not be a medical standard of care in evaluating blepharoplasty patients. CONCLUSIONS:The preoperative evaluation of blepharoplasty patients may be severely limited in specialties that perform Schirmer testing or other tear production tests without the benefit of a directed clinical history and slit lamp examination. Current tear production tests are unreliable in detecting dry eye. The ideal approach to the evaluation of the blepharoplasty patient remains controversial.
journal_name
Ophthalmic Plast Reconstr Surgjournal_title
Ophthalmic plastic and reconstructive surgeryauthors
Espinoza GM,Israel H,Holds JBdoi
10.1097/IOP.0b013e3181a1d4a5subject
Has Abstractpub_date
2009-05-01 00:00:00pages
197-200issue
3eissn
0740-9303issn
1537-2677pii
00002341-200905000-00008journal_volume
25pub_type
杂志文章,评审abstract::Ocular tick infestation is a rare occurrence. The authors report a case that is unique for being the first published example from New England, for its chronic presentation, and for the inclusion of histopathologic analysis in its diagnostic workup. A 75-year-old man was evaluated for a persistent eyelid growth seconda...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0000000000000231
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abstract:PURPOSE:The authors report and evaluate their experience with an individualized approach to orbital exenteration. METHODS:Retrospective chart review was performed on a consecutive series of 25 orbital exenteration patients at a tertiary care center. The cases were classified into two groups for the retrospective analy...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/01.iop.0000066699.53489.88
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abstract::The repair of severe upper eyelid entropion with trichiasis was reported early in ophthalmological literature; a historical review of the main operative techniques is provided. The aim of treatment is to bring the eyelashes away from the lid margin. Recent procedures use an upward transposition of the anterior lamella...
journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:1986-01-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::Patients who have a paranoid disorder have a general expectation of being exploited or harmed. Assessment of personality and mental health is an important aspect of the preoperative patient evaluation. Paranoid patients can be troublesome or even physically dangerous, but may be difficult to detect preoperatively. We ...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199009000-00015
更新日期:1990-01-01 00:00:00
abstract::A case of chronic Actinomyces canaliculitis with associated pyogenic granuloma formation and bloody tears is described. Although Actinomyces is a well-known cause of canaliculitis, the authors are not aware that it has been reported in association with pyogenic granulomas. ...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/01.iop.0000214529.43021.f4
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abstract::Common variable immune deficiency (CVID) is characterized by reduced serum immune globulins and impaired or absent antibody responses. Patients become more susceptible to infections and to lymphoproliferation and granulomatous inflammation. Ophthalmic manifestations of CVID are rare. The authors describe a case of orb...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3182873c61
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e31818b751d
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journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:1997-09-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e31820d1ac3
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abstract::A 26-year-old woman with congenital lamellar ichthyosis presented with bilateral cicatricial ectropion of the upper and lower eyelids. There was severe exposure keratopathy with corneal perforation in the left eye. The generalized skin involvement necessitated the use of an alternative to correct the cicatricial ectro...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3182082f4e
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:To describe a technique for localizing a lost rectus muscle during strabismus or retinal surgery or following trauma. METHODS:In this single center, retrospective chart review, 5 patients were identified between January 2012 and June 2016 with a lost rectus muscle; 3 during strabismus surgery and 2 post trauma...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::Traumatic blow-out fractures of the orbital floor are a common injury that can lead to significant morbidity. Accepted indications for surgical repair include displaced fractures consisting of a defect > 50% of the orbital floor, extraocular muscle entrapment, and clinically significant enophthalmos. Although infraorb...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00002341-199412000-00010
更新日期:1994-12-01 00:00:00
abstract:PURPOSE:To investigate the histopathological and ultrastructural changes in the lacrimal glands (LGs) of rabbits following either botulinum toxin (BTX) injection or simple glandular needling. METHODS:Twenty-four LGs of 24 eyes of 12 healthy New Zealand white rabbits were included in the study. Of these, 4 LGs of 4 eye...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::Capillary hemangioma in the infant may result in amblyopia, refractive error, or strabismus, and is often disfiguring. Treatment is challenging with respect to maintaining vision, as well as preserving function of the eyelids and ocular adnexa and obtaining the best possible cosmetic outcome. Neodymium-YAG laser photo...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00002341-198804030-00001
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abstract:PURPOSE:To report a case of gastrointestinal sarcoma with leiomyosarcomatous differentiation metastatic to the eyelid. METHODS:Clinical data including a comprehensive ophthalmologic examination, histologic findings, a bone scan, and hospital records were reviewed. RESULTS:A 56-year-old woman with a history of esophag...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract:PURPOSE:A new operation to correct lower eyelid laxity was evaluated. METHODS:A new transcaruncular, orbital approach to posterior medial canthal tendon plication was performed on eight orbits of four cadavers, which were then analyzed with computed tomography or histologic techniques. The procedure was also performed...
journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199805000-00008
更新日期:1998-05-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2018-05-01 00:00:00
abstract::Pseudomonal eyelid necrosis is a rare condition that has not been well characterized. Five case reports have been previously described. The authors present an additional case, describe its unique features, review the previous reports, and establish the clinical characteristics of the disorder. Pseudomonal eyelid necro...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract::Conversion disorders are among common psychological problems. Pseudoptosis is an uncommon presentation of this category of disorders. Herein, the authors report 2 cases of psychogenic pseudoptosis. The first case is a 21-year-old man who presented with sudden onset of ptosis in his OS 2 weeks previous. The patient rep...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::Neonatal progeroid syndrome (NPS) is a rare, autosomal recessive disorder characterized by an aged face, wrinkled skin, decreased subcutaneous fat, and neonatal teeth. The authors describe herein a 2-month-old infant with NPS who underwent eyelid surgery for bilateral upper eyelid entropion and stromal keratitis. The ...
journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2014-11-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/01.iop.0000203495.67894.c7
更新日期:2006-03-01 00:00:00
abstract:PURPOSE:To review and summarize the clinical features, presentations, diagnostic modalities, and management of ophthalmic manifestations of eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg-Strauss Syndrome). METHODS:A systematic PubMed search of all English articles on EGPA with ophthalmic involveme...
journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2019-01-01 00:00:00