By Gottfried O.H. Naumann, L. Holbach, F.E. Kruse
Written and edited by means of the world-famous professional G.O.H. Naumann, this textbook delves into the main points of ocular buildings resembling the nuances of morphology, surgical anatomy and pathology. The textual content covers designated positive aspects of intraocular surgical procedure in closed procedure and open eye contexts. It is going directly to hide an important elements of restoring the anterior chamber. Then it delineates the spectrum of capability issues in (pseudo-) exfoliation-syndromes in addition to the main weak telephone populations. Readers also are taken care of to the good points of standard and pathologic wound therapeutic after non-mechanical laser and mechanical innovations. incredible art and sketches illustrate the complicated pathology.
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Additional info for Applied Pathology for Ophthalmic Microsurgeons
Syringe the nasolacrimal outflow system in order to exclude simultaneous obstruction prior to surgical correction of the ectropion. b Abnormal medial canthal tendon laxity with a punctum movable laterally to the limbus estimated clinically by gently pulling the lid laterally suggesting laxity of the anterior limb. c Appearance 2 weeks postoperatively following plication of the anterior limb of the medial canthal tendon Involutional Ectropion 1. Involutional ectropion centrally: modified Bick procedure (full thickness pentagon excision and direct closure 6 mm in from the lateral canthus) 2.
Cross section of the upper and lower eyelid. 1 Surgical Anatomy the upper tarsus. The main difference in the oriental eyelid is the low skin crease due to the low insertion of the levator aponeurosis close to the lashes in the upper eyelid. The lower eyelid crease is usually located 4 – 5 mm from the lash line along the lower border of the inferior tarsal plate. The anterior eyelid margin holds the eyelashes. Trichiasis is a common and acquired misdirection of eyelashes arising from their normal site of origin.
From Schlötzer-Schrehardt et al. 2005) a b c Fig. 6. Involutional ectropion of the upper eyelid in floppy eyelid syndrome – horizontal lid shortening procedure: a Preoperative appearance with red and thickened right upper lid margin. b Results 1 day postoperatively following horizontal lid shortening of the right upper lid. 2 Surgical Pathology a b Fig. 7. Light microscopy of lid sections stained by van Gieson’s method for elastic fibers in floppy eyelid syndrome (a) and control specimens (b); elastic fibers appear dark-brown, collagen fibers appear red (original magnification × 100).
Applied Pathology for Ophthalmic Microsurgeons by Gottfried O.H. Naumann, L. Holbach, F.E. Kruse