Curbside Consultation in Ocuplastics 49 Clinical Questions

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional texts and references in oculoplastics? Are you seeking brief, evidence-based advice for common clinical dilemmas or complications?Curbside Consultation in Oculoplastics: 49 Clinical Questionsprovides quick and direct answers to the thorny questions most commonly posed during a "curbside consultation" between experienced clinicians.Dr. Robert C. Kersten and Dr. Timothy J. McCulley, have designed this unique reference in which oculoplastic specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with oculoplastics. The unique Q&A format provides quick access to current information related to oculoplastics with the simplicity of a conversation between two colleagues. Images, diagrams, and references are included to enhance the text and to illustrate common clinical dilemmas.Curbside Consultation in Oculoplastics: 49 Clinical Questionsprovides information basic enough for residents while also incorporating expert pearls that even high-volume ophthalmologists will appreciate. Residents, fellows, and practicing physicians alike will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: bull; What do I do when a patient on anti-coagulants needs surgery? bull; When does an eyelid lesion need to be biopsied? bull; What are the general treatment guidelines for Gravesrs" ophthalmopathy? bull; How should I treat bacterial orbital cellulitis? bull; How do you distinguish an orbital infection from sterile inflammation? bull; When should I be concerned about systemic disease in a patient with blepharoptosis? bull; What are the oculoplastic uses of botulinum toxin? bull; How do I know when to order an MRI or a CT?

Dedication About the Editors Contributing Authors Preface xxi Section I UPPER EYELID MALPOSITION AND RELATED DISORDERS Question 1 How Should I Manage Blepharoptosis? Steven C. Dresner, MD Question 2 When Should I Be Concerned About Systemic Disease in a Patient With Blepharoptosis? Robert C. Kersten, MD, FACS (co-authored with Chris Thiagarajah, MD) Question 3 How Should I Manage Exposure Keratopathy Due to Upper Eyelid Retraction Following Blepharoptosis Repair? Gene R. Howard, MD Question 4 How Do I Manage a Child With Congenital Blepharoptosis? James A. Katowitz, MD (co-authored with William R. Katowitz, MD) Section II LOWER EYELID MALPOSITION AND RELATED DISORDERS Question 5 How Should I Manage Ectropion? Daniel J. Townsend, MD Question 6 How Do You Like to Manage Patients With Entropion? Kenneth V. Cahill, MD Question 7 How Should I Manage Exposure Keratopathy Due to Lower Eyelid Retraction? James R. Patrinely, MD, FACS Section III EYELID NEOPLASM Question 8 When Does an Eyelid Lesion Need to Be Biopsied? Richard Collin, MA, FRCS, FRCOphth, DO (co-authored with Mich\u00e8le Beaconsfield, FRCS, FRCOphth, FEBO) Question 9 When Should Mohs Surgery Be Employed? Isaac M. Neuhaus, MD Question 10 I Need Help Managing Chalazia—Do Steroid Injections Work? Andrew R. Harrison, MD Question 11 How Do You Manage Actinic Keratosis of the Eyelids? Ann G. Neff, MD Question 12 How Should Lentigo Maligna Be Managed? Siegrid S. Yu, MD (co-authored with Linda C. Chang, MD and Murray Cotter, MD, PhD) Section IV Miscellaneous Question 13 What Anesthesia Do You Recommend for Office-Based Oculoplastic Procedures? David E. Holck, MD (co-authored with Tatiana Nahas, MD) Question 14 What Is the Role for Tarsorrhaphy? Gary L. Aguilar, MD Question 15 What About Anticoagulation? Tamara R. Fountain, MD Question 16 How Do I Know When to Order an MRI or a CT? Karl C. Golnik, MD, MEd Question 17 What Is the Best Approach for Trichiasis? David R. Jordan, MD, FACS, FRCSC Question 18 How Should I Manage Facial Nerve Palsy? Andrew G. Lee, MD Section V ORBITAL INFLAMMATION AND INFECTION Question 19 How Should I Manage a \u201cHot\u201d Orbit? James A. Garrity, MD Question 20 How Should I Treat Bacterial Orbital Cellulitis? Michael T. Yen, MD Question 21 What Are the General Treatment Guidelines for Graves\u2019 Ophthalmopathy? Jonathan W. Kim, MD Question 22 When Should Immune Suppression Be Used for Graves\u2019 Ophthalmopathy? Mark J. Lucarelli, MD, FACS Question 23 Do You Think Radiation Is Ever Indicated for Graves\u2019 Disease? Vikram D. Durairaj, MD Section VI ORBITAL NEOPLASM Question 24 What Is the Role of Topical Therapy in Management of Conjunctival Malignancy? Carol L. Shields, MD Question 25 How Should I Approach a Lacrimal Gland Tumor? Mart\u00edn H. Devoto, MD Question 26 What Should Be Done for the Patient With an Incidental Orbital Tumor? Geoffrey E. Rose, BSc, MBBS, MS, DSc, MRCP, FRCS, FRCOphth Question 27 What Is the Management of Orbital Lymphoma?   Timothy John Sullivan, FRANZCO Question 28 What Is the Current Management of Benign Reactive Lymphoid Hyperplasia? Jurij R. Bilyk, MD Section VII Trauma Question 29 What Should I Do When I Suspect an Orbital Fracture? Paul D. Langer, MD, FACS Question 30 When Should an Orbital Foreign Body Be Removed? Jeffrey A. Nerad, MD, FACS Question 31 What Is Traumatic Optic Neuropathy? Stuart R. Seiff, MD, FACS Question 32 What Should I Do for an Orbital Hemorrhage? Michael Kazim, MD Question 33 How Should Canalicular Lacerations Be Managed? Louise A. Mawn, MD, FACS Section VIII EVISCERATION, ENUCLEATION, AND THE ANOPHTHALMIC SOCKET Question 34 How Do I Decide Whether to Perform an Evisceration or Enucleation? Thomas N. Hwang, MD, PhD Question 35 I Have a Patient With a Prosthetic Eye. What Can Be Done About a Deep Superior Sulcus? Philip L. Custer, MD Section IX LACRIMAL DRAINAGE SYSTEM Question 36 How Should I Manage Congenital Nasolacrimal Duct Obstruction? Tina Rutar, MD Question 37 What Are the Differences Between an Internal (Endoscopic) and External Dacryocystorhinostomy? Fran\u00e7ois Cod\u00e8re, MD Question 38 How Should I Manage Canaliculitis? Bryan S. Sires, MD, PhD Question 39 When Should Patients With Acquired Nasolacrimal Duct Obstruction Be Imaged? Thomas E. Johnson, MD Question 40 What Is Your Preferred Management of Dacryocystitis? Peter A.D. Rubin, MD, FACS Section X COSMETIC OCULOFACIAL PLASTIC SURGERY   Question 41 What Are the Oculoplastic Uses of Botulinum Toxin? Timothy J. McCulley, MD (co-authored with Michael K. Yoon, MD) Question 42 What Are the Current Thoughts on Blepharoplasty? Peter S. Levin, MD Question 43 How Can I Address Midface Descent and Volume Depletion? Roger A. Dailey, MD, FACS Question 44 What Are \u201cFillers\u201d and When Should They Be Used? Rona Z. Silkiss, MD, FACS Question 45 What Is the Difference Between Laser Resurfacing and Chemical Peels? Jerry K. Popham, MD, FACS Question 46 What Are the Surgical Options for Brow Lifting? John D. McCann, MD, PhD (co-authored with Dan Georgescu, MD, PhD) Question 47 What Is Latisse? Timothy J. McCulley, MD (co-authored with Michael K. Yoon, MD) Question 48 How Do I Manage the Unhappy Cosmetic Patient? John B. Holds, MD, FACS Question 49 How Do I Manage Lower Eyelid Malposition Following Lower Eyelid Blepharoplasty? Jill A. Foster, MD, FACS (co-authored with Craig N. Czyz, DO, FACOS and Kelly R. Everman, MD) Financial Disclosures Index