Product Description

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 Questions provides 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 Questions provides 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:

• What do I do when a patient on anti-coagulants needs surgery?
• When does an eyelid lesion need to be biopsied?
• What are the general treatment guidelines for Graves’ ophthalmopathy?
• How should I treat bacterial orbital cellulitis?
• How do you distinguish an orbital infection from sterile inflammation?
• When should I be concerned about systemic disease in a patient with blepharoptosis?
• What are the oculoplastic uses of botulinum toxin?
• How do I know when to order an MRI or a CT?

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Contents

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 Michèle 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 "Hot" 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' Ophthalmopathy?

Jonathan W. Kim, MD

Question 22: When Should Immune Suppression Be Used for Graves' Ophthalmopathy?

Mark J. Lucarelli, MD, FACS

Question 23: Do You Think Radiation Is Ever Indicated for Graves' 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?

Martín 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

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?

François Codère, 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 "Fillers" 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

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Reviews

"All the advice is direct and practical as it is required for traumatic clinical presentations. Overall, this book covers a wide range of topics of interest to all practitioners."

— Seamus Sweeney, EuroTimes, Dublin, Ireland

"It provides concise and well crafted answers in an interesting, stimulating, and easy to read question-and-answer format. The editors have done an outstanding job choosing knowledgeable and respected physicians to answer each question. This is a refreshing and easy to read book in a unique format."

— Christopher B. Chambers, MD, (University of Pennsylvania School of Medicine) Doody Enterprises Inc.

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About the Editors

Robert C. Kersten, MD, FACS is Professor of Ophthalmology at University of California San Francisco School of Medicine. He has trained more than 30 postgraduate fellows in oculofacial plastic surgery and authored more than 100 peer-reviewed publications and 30 textbook chapters. He is a member of the Orbit Society and has served on the editorial boards of numerous scientific journals dealing with ophthalmic plastic surgery. He lectures widely on an international basis and has received the Senior Honor Award from the American Academy of Ophthalmology, where he served as editor of the Basic and Clinical Science Course series on Orbit, Eyelids, and Lacrimal System.

Timothy J. McCulley, MD obtained his medical degree at Washington University School of Medicine in St. Louis in 1995. Following his internship at the University of Hawaii in Honolulu, he completed a residency in Ophthalmology at Stanford University. After residency, Dr. McCulley completed fellowship training in neuro-ophthalmology at The Bascom Palmer Eye Institute, University of Miami. The subsequent 2 years were spent completing subspecialty training in oculoplastic surgery, primarily at the Cincinnati Eye Institute. He subsequently returned to Stanford, where he served as Director of both Ophthalmic Plastic and Reconstructive Surgery and Neuro-Ophthalmology.

This is the second book edited by Dr. McCulley. He has also contributed to more than 20 book chapters and authored more than 50 peer-reviewed manuscripts. Dr. McCulley serves on numerous journal review boards and is on the editorial board and in charge of the photo-essay section of The Journal of Neuro-Ophthalmology.

In 2006, Dr. McCulley moved north to The University of California San Francisco, where he currently practices both neuro-ophthalmology and oculoplastic surgery, serves as Director of the Division of Oculoplastic Surgery, and is the primary preceptor for an ASOPRS fellowship.

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