Dacryocystorhinostomy (DCR) : Tips & Tricks for Postgraduates
Dacryocystorhinostomy (DCR), a century-old procedure described by Toti in the early 1900s, remains the gold standard for treating Nasolacrimal Duct Obstruction (NLDO).1 For any other procedure related to the treatment of NLDO, they are all compared and evaluated against DCR. The surgical anatomy overlaps the areas of expertise of an ophthalmologist or an oculoplastic specialist and an otolaryngolo...Read More
Ten Pearls to Improve Your Surgical Skills in Oculoplasty
Oculoplastic surgery, despite being a niche surgical branch, encompasses a variety of procedures involving the nasolacrimal apparatus, orbit and eyelids. Having evolved into a speciality only in the last 6-7 decades, it also includes fields such as trauma, oncology and oculofacial aesthetics, which make it fascinating as well as challenging1. Just as in most ophthalmic sub-specialities, Oculoplast...Read More
Ptosis Surgeries: Made Simple for The Postgraduates
Ptosis refers to a vertical narrowing of the palpebral fissure secondary to drooping of the upper eyelid to a lower than normal position. Multiple surgical procedures can be used to correct ptosis including, frontalis sling, levator advancement, Fasanella Servat operation, and Mullerectomy. The selection of one technique over another depends on the consideration of several factors including the de...Read More
Case presentation: A 65-year-old man presented to our clinic with gradually progressive protrusion and swelling of both eyes and double vision for 1 year associated with progressive drooping of the right upper eyelid. There is acute onset of pain in the left eye for 10 days. A smoker for 25 years. Past ocular history No h/o previous ocular surgery or trauma Past medical history The patient is a di...Read More
Pearls in the Diagnosis and Management of Rhino-Orbito-Cerebral-Mucormycosis
“The more you know about the past, the better you are prepared for the future.” – Theodore Roosevelt 1. Elicit adequate history Considering the lethal and angio-invasive nature of Rhino-Orbital-Cerebral-Mucormycosis (ROCM) supplemented in this COVID-19 era, it is mandatory to understand the causative factors of the disease. Diabetes mellitus, oral and systemic corticosteroids, immunosuppressive dr...Read More
Facial Spasms: Diagnosis and Management
Introduction Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both [1]. They may be isolated or combined with other neurological symptoms or movement disorders [1]. Dystonia is classified based on the age of onset, etiology, clinical features, and body distribution. The body distrib...Read More
DCR: When You Start,Do It Right !!
Introduction: Dacryocystorhinostomy (DCR) is a procedure wherein an alternate passage is created between the lacrimal sac and nasal mucosa through a bony ostium, bypassing the normal lacrimal pathway. Indications: 1. Persistent congenital lacrimal duct obstruction unresponsive to conservative management. 2. Primary acquired nasolacrimal duct obstruction (PANDO). 3. Secondary acquired nasolacrimal ...Read More
Development of the lacrimal secretory apparatus: The lacrimal gland develops from solid ectodermal buds in the anterior superolateral part of the orbit. The gland does not start functioning fully until approximately 6 weeks after birth. Newborn infants do not produce tears while crying. Development of the lacrimal excretory system: The Nasolacrimal duct opens in the inferior meatus of the nose. Fa...Read More
Blepharoptosis refers to the inferodisplacement or drooping of the upper eyelids.The condition can be congenital associated with the presence of a dystrophic levator muscle or acquired due to a myogenic, neurogenic, mechanical, aponeurotic or traumatic cause. We aim to provide certain general guidelines to the management of a patient with ptosis. In assessment of long case of ptosis the clinical e...Read More
In recent times, eyelid injuries are on the rise primarily because of the increasing incidence of road traffic accidents, industrial mishaps and intentional assaults on the human body. Injury to the eyelids, lacrimal system or orbital wall may be isolated or may occur in association with mid facial injuries. History A precise history is essential to assess the severity of the injury. In some cases...Read More