Περιγραφή
Lacrimal or tearing disorders are among the most common conditions encountered by ophthalmologists. The close relationship between the eyes and the nose demand an interdisciplinary approach to nasolacrimal disorders.
This book is a step by step guide to the surgical management of lacrimal disorders. Beginning with an introduction to lacrimal surgery, anatomy and physiology of the lacrimal system, and patient evaluation, the following chapters describe surgical procedures for different disorders.
This practical guide is highly illustrated with more than 200 images and diagrams to enhance learning.
Key points
- Step by step guide to lacrimal drainage surgery
- Detailed explanations of anatomy and physiology of nasolacrimal system
- Presented with an interdisciplinary approach
- Includes more than 200 images and illustrations
Περιεχόμενα
1. Milestones in Lacrimal Drainage Surgery 1
Suresh D Isloor
? Historical Background 1
2. Surgical Anatomy of the Lacrimal Excretory 3
System and Lateral Wall of the Nose
Suresh D Isloor
? Lacrimal Fossa 5
? Lateral Nasal Wall 7
3. Physiology of the Lacrimal System 10
Suresh D Isloor
4. Symptoms and Evaluation of Tearing Patient 12
Suresh D Isloor
? Epiphora Grading 12
? Clinical History 13
? Lavage 15
5. Imaging in Lacrimal Drainage System 17
Lakshmi Mahesh
? Conventional Radiography (X-ray) and Dacryocystography 17
? Ultrasound 19
? Nuclear Medicine Dacryoscintigraphy 19
? Computed Tomography/Computed Tomography Dacryocystography 20
? Magnetic Resonance Imaging 21
6. Evaluation and Management of Congenital Dacryostenosis 23
Suresh D Isloor
? Natural History 23
? Intubation 27
? Indications 28
? Postoperative Care and Complications 29
7. External, Conventional or Percutaneous Dacryocystorhinostomy 30
Suresh D Isloor
? Indications for Surgery 30
? Contraindications 31
? Anesthesia 31
? Lacrimal SAC 35
? Silicone (Silastic) Intubation 36
? Postoperative Care 36
8. Endoscopic Endonasal Approach to the Lower Lacrimal Drainage System 37
P Thulasi Das, Harini T Das, V Venkatraman
? Indications 37
? Evaluation of Patients with Epiphora 37
? Endoscopic Surgery of Lower Lacrimal Drainage System 38
9. Combined Transcanalicular Endonasal Diode Laser Dacryocystorhinostomy 42
Suresh D Isloor
? Postoperative 45
10. Conjunctivodacryocystorhinostomy 46
Mohammad Javed Ali, Roshmi Gupta, Santosh G Honavar
? Indications 46
? Contraindications 46
? Equipment Required 46
? Preparation 47
? Procedure 47
? Postoperative Care 49
? Success Rates and Complications 50
11. Centurion Syndrome and its Management 51
Shivayogi R Kusagur
? Anatomy and Function of Medial Canthal Tendon 51
12. Smart Lacrimal Probe 55
Mihir Kothari
13. Diode Laser Machines Used in Transcanalicular Laser DCR 58
Suresh D Isloor
14. Instruments Used in External, Endonasal, Laser DCR 62
Suresh D Isloor
15. Endonasal Endoscopic Dacryocystorhinostomy 72
Deviprasad D
? Indications 72
? Contraindications 72
? Advantages Over External Dacryocystorhinostomy 73
? Preoperative Considerations 73
? Equipment and Instruments 74
? Anesthesia 75
? Surgical Technique 75
? Postoperative Care 77
? Complications 78
16. Minimal Invasive Lacrimal Surgeries: Balloon Dacryoplasty 79
Mohammad Javed Ali, Milind N Naik, Santosh G Honavar
? Balloon Dacryoplasty in Children 80
? Balloon Dacryoplasty in Adults 82
? Nine Millimeter Primary Endoscopic Balloon 83
? Balloon-Assisted Revision Dacryocystorhinostomy 84
17. Amniotocele and Fistula, Dacryocystitis and Tumors (Neoplastic) 86
Suresh D Isloor
? Amniotocele 86
? Lacrimal Fistula 86
? Treatment 87
? Dacryocystitis 87
? Tumors (Neoplastic) 87
? Traumatic 88
? Iatrogenic 88
Index 89
