ABSTRACT
A cobalt blue filter adapter was constructed to fit between a rigid nasal endoscope and its halogen light source. Flooding the nasal cavity with the blue light illuminates the fluorescein-stained tears for more accurate examination of lacrimal function. We call our protocol the Jones IE test and used this new technique to examine 99 nasolacrimal systems of epiphora patients over a 15-month period. The results of this study show a six-fold increase in the ability of the Jones IE test to detect fluorescein dye within the nasal cavity over the conventional Jones I test.
Subject(s)
Endoscopy/methods , Lacrimal Apparatus Diseases/metabolism , Lacrimal Apparatus/metabolism , Tears/metabolism , Adult , Aged , Aged, 80 and over , Dacryocystorhinostomy , Female , Fluorescein , Humans , Lacrimal Apparatus Diseases/diagnosis , Lacrimal Apparatus Diseases/surgery , Light , Male , Middle Aged , Nasolacrimal Duct/physiology , Retrospective StudiesABSTRACT
Chemosis--conjunctival edema--occurs frequently after direct surgical or accidental trauma. In most cases, it resolves spontaneously. We report three patients with a spectrum of persistent chemosis after lower blepharoplasty. Etiologic factors are presented, and the management is reviewed.
Subject(s)
Conjunctival Diseases/therapy , Edema/therapy , Eyelid Diseases/surgery , Postoperative Complications , Adult , Aged , Conjunctival Diseases/etiology , Edema/etiology , Female , Humans , Male , Middle Aged , ProlapseABSTRACT
BACKGROUND: Successful aesthetic eyelid surgery is based upon multiple complex factors that, when put together, yield a pleasing result. Beauty is inherently related to normal eyelid function and symmetry. OBJECTIVE: To review the critical issues facing the aesthetic surgeon, and to propose a systematic method of assessing the patient preoperatively. METHODS: This article first examines the general considerations for aesthetic eyelid surgery, followed by specific concerns within each anatomic area. RESULTS AND CONCLUSION: The critical task in aesthetic eyelid surgery is to reconstitute or preserve the normal structure and function of the eyelids. This is especially true in the multicontoured areas. It is essential for the surgeon to define the problems in a hierarchal fashion, and plan the surgery accordingly. Thus, not all patients can achieve the desired results in one sitting. The goal of aesthetic surgery is to avoid the telltale signs of surgery and to help the patient attain a youthful and energetic appearance for his or her age bracket.
