Orbital Surgery

Description

Orbital surgery deals with a variety of complications occurring in the eye socket comprising inflammatory diseases like thyroid-associated orbitopathy, tumors, infections, and injuries from trauma that affect eye function. In this volume, renowned European orbital surgery experts share their professional experience and expertise. Their contributions cover basic as well as more specialized up-to-date concepts that are beneficial in the diagnosis and treatment of patients with orbital disorders.
The book offers a practical review of this complex and very interesting branch of ophthalmic plastic surgery for ophthalmology residents, ophthalmic plastic and orbital surgery fellows, ophthalmic plastic surgeons with a special interest in orbital surgery, and general ophthalmologists.

Informations

• Publié par: S. Karger AG
• Date de parution: 25 août 2014
• Nombre de lectures: 0
• EAN13: 9783318026061
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Orbital Surgery
ESASO Course Series
Vol. 5
Series Editors
F. Bandello Milan
B. Corcóstegui Barcelona
Orbital Surgery
Volume Editors
Ramón Medel Barcelona
Luz María Vásquez Barcelona
87 figures, 82 in color, and 3 tables, 2014
_______________________ Ramón Medel Department of Ophthalmic Plastic, Reconstructive and Orbital Surgery Instituto de Microcirugía Ocular (IMO) Universitat Autònoma de Barcelona Carrer Josep Maria Llado 3 ES-08035 Barcelona (Spain)
_______________________ Luz María Vásquez Department of Ophthalmic Plastic, Reconstructive and Orbital Surgery Instituto de Microcirugía Ocular (IMO) Universitat Autònoma de Barcelona Carrer Josep María Llado 3 ES-08035 Barcelona (Spain)
Library of Congress Cataloging-in-Publication Data
Orbital surgery/ volume editors, Ramón Medel, Luz María Vásquez.
p.; cm. –– (ESASO course series, ISSN 1664-882X; vol. 5)
Includes bibliographical references and index.
ISBN 978-3-318-02605-4 (hard cover: alk. paper) –– ISBN 978-3-318-02606-1 (e-ISBN)
I. Medel, Ramon, editor. II. Vásquez, Luz María, editor. III. Series: ESASO course series; v. 5.1664-882X
[DNLM:1. Orbital Diseases-diagnosis. 2. Orbit-anatomy & histology. 3. Orbit-surgery. 4. Orbital Diseases-surgery. WW 202]
RE711
617.7'8059-dc23
2014026804
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents ® .
Disclaimer. The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
© Copyright 2014 by S. Karger AG, P.O. Box, CH-4009 Basel (Switzerland)
www.karger.com
Printed in Germany on acid-free and non-aging paper (ISO 9706) by Kraft Druck, Ettlingen
ISSN 1664-882X
e-ISSN 1664-8838
ISBN 978-3-318-02605-1
e-ISBN 978-3-318-02606-1
Contents
List of Contributors
Preface
Medel, R.;Vásquez, L.M. (Barcelona)

Basic Concepts in Orbital Examination
Vásquez, L.M. (Barcelona)
Orbital Decompression in Thyroid Eye Disease
Baldeschi, L.; Boschi, A. (Brussels)
Orbital Fractures and Management of Diplopia
Morax, S.; Bok-Beaube, C. (Paris)
Approach to Diagnosis of Orbital Tumours
Medel, R.; Balaguer, Ó. (Barcelona)
Evisceration, Enucleation and Exenteration
Tyers, A.G. (Salisbury)
Anophthalmic Socket
Hintschich, C. (Munich)
Subject Index
List of Contributors
Óscar Balaguer Solé
Department of Ophthalmic Plastic,
Reconstructive and Orbital Surgery
Instituto de Microcirugía Ocular (IMO)
Universitat Autònoma de Barcelona
Carrer Josep Maria Llado 3
ES-08035 Barcelona (Spain)
E-Mail [e-mail]
Lelio Baldeschi
Department of Ophthalmology
Saint Luc Hospital Brussels
Catholic University of Louvain
Avenue Hippocrate 10
BE-1200 Brussels (Belgium)
E-Mail [e-mail]
Corinne Bok-Beaube
Department of Ophthalmic Plastic and
Reconstructive Surgery
Rothschild Ophthalmic Foundation
FR-75019 Paris (France)
E-Mail [e-mail]
Antonella Boschi
Department of Ophthalmology
Saint Luc Hospital Brussels
Catholic University of Louvain
Avenue Hippocrate 10
BE-1200 Brussels (Belgium)
E-Mail [e-mail]
Christoph Hintschich
University Eye Hospital
Ludwig-Maximilians-University Munich
Mathildenstr. 8
DE-80336 Munich (Germany)
E-Mail [e-mail]
Ramón Medel
Department of Ophthalmic Plastic,
Reconstructive and Orbital Surgery
Instituto de Microcirugía Ocular (IMO)
Universitat Autònoma de Barcelona
Carrer Josep Maria Llado 3
ES-08035 Barcelona (Spain)
E-Mail [e-mail]
Serge Morax
169 avenue Achille Peretti
FR-92200 Neuilly sur Seine (France)
E-Mail [e-mail]
Anthony G.Tyers
Department of Ophthalmology
Salisbury District Hospital
Odstock Road
Salisbury SP2 8BY (UK)
E-Mail [e-mail]
Luz María Vásquez
Department of Ophthalmic Plastic,
Reconstructive and Orbital Surgery
Instituto de Microcirugía Ocular (IMO)
Universitat Autònoma de Barcelona
Carrer Josep Maria Llado 3
ES-08035 Barcelona (Spain)
E-Mail [e-mail]
Preface
Ophthalmic plastic and orbital surgery is a sub-specialty that encompasses the treatment of an extensive number of diseases affecting the eyelids, the lacrimal pathway and the orbit. The range of alterations is so long and wide that it would be difficult to list and summarise them all in one course or publication.
The oculoplastic surgeon needs to master a large number of surgical techniques to treat each pathology (as we can use about 10 different techniques to fix an eyelid ptosis, 6 or 7 approaches to the orbit, and at least 3 ways to correct an epiphora). In addition, anatomical knowledge and dissection skills beyond the eye make the difference with the rest of sub-specialties since we often have to work in areas outside of our comfort zone (eyeball and eyelids) to obtain good results in the maintenance of eyelid architecture and function, as is the case when we move to the region of the midface and forehead. It is also essential to know and control the haemostatic techniques since uncontrolled bleeding can lead to loss of function or vision.
The orbit is perhaps the great unknown for the majority of ophthalmologists, but perhaps the most exciting. Learning how to diagnose and treat orbital diseases is more difficult as the orbit is a somehow hidden space that is hard to approach, both clinically and surgically. Therefore, learning how to use all the tools available to properly examine, diagnose and treat these patients is crucial.
An extra challenge we must face when dealing with problems of the orbit is the management of oncology patients. Very few training programs teach how to deal with these problems that often radically alter the patient's life or may even result in death at a very early age.
This branch of our specialty is impossible to assimilate in short periods of time and requires a special interest and dedication, given the dramatic consequences that may impact the patient. It is a sub-specialty that requires the participation of multiple specialties such as endocrinology, oncology, radiology, pathology and haematology.
This is why we chose the orbit for the first ESASO Course Series in Orbital, Lacrimal and Ophthalmic Plastic Surgery , as it is less frequent and therefore largely unknown. The concepts this book covers have been widely exposed in the ESASO Oculoplastic Surgery Module, carried out in Malta every year by top-level experts in orbital surgery who also contributed to the production of this publication.
This monograph is addressed to general ophthalmologists with a special interest in oculoplastic surgery and intends to review basic concepts handled every day by orbit experts, but which can also be useful to any ophthalmologist. It is not intended to be a guide for action to treat patients with orbital pathology, especially in the presence of oncology patients or with complicated orbitopathy.
Ramón Medel , Barcelona Luz María Vásquez , Barcelona
Medel R, Vásquez LM (eds): Orbital Surgery. ESASO Course Series. Basel, Karger, 2014, vol 5, pp 1-17 (DOI: 10.1159/000363711)
______________________
Basic Concepts in Orbital Examination
Luz María Vásquez
Instituto de Microcirurgia Ocular, Barcelona, Spain
______________________
Abstract
Orbital disease usually arises within the orbit or spreads from adjacent structures. The aetiology can be inflammatory, vascular or neoplastic, either benign or malignant. To reach a correct diagnosis, a thorough history is essential, followed by a proper clinical examination, supported by investigations to evaluate the pathophysiology changes, and imaging techniques to define the lesions, allowing for the correct diagnosis and treatment of diseases t