2014-2015 Basic and Clinical Science Course (BCSC): Section by American Academy of Ophthalmology, John Bryan Holds MD

By American Academy of Ophthalmology, John Bryan Holds MD

Info the anatomy of the orbit and adnexa, and emphasizes a realistic method of the review and administration of orbital and eyelid issues, together with malpositions and involutional alterations. Updates present info on congenital, inflammatory, infectious, neoplastic and irritating stipulations of the orbit and accent constructions. Covers key elements of orbital, eyelid and facial surgery.

Upon crowning glory of part 7, readers can be capable to:

Describe the traditional anatomy and serve as of orbital and periocular tissues
Choose acceptable exam suggestions and protocols for diagnosing issues of the orbit, eyelids, and lacrimal system
Describe practical and beauty symptoms within the surgical administration of eyelid and periorbital stipulations

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Extra resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 7: Orbit Eyelids and Lacrimal System

Example text

Classic examples are dermoid cysts, epidermoid cysts, dermolipon'las, and teratomas. These congenital and juvenile tumors are discussed further in BCSC Section 6, Pediatric Ophthalmology and Strabismus. Oermoid cyst Dermoid and epidermoid cysts are among the most common orbital tumors of childhood. These cysts are present congenitally and enlarge progressively. The more superficial cysts usually become symptomatic in childhood, but deeper orbital dermoids may not become clinically evident until adulthood.

An example is microphthalmia. However, a superimposed aberrant growth usually follows the original arrest, and the resulting deformity does not represent any previous normal stage of development. An example of this latter condition is formation of an orbital cyst following incomplete closure of the fetal fissure. As a rule, the more gross the abnormality, the earlier in development it occurred. The examination of the child with an ocular or craniofacial malformation should focus on carefully defining the severity of the defect and ruling out associated changes.

The sinuses may also support the nasal passages in trapping irritants and in warming and humidifying the air. Pathophysiologic processes in these spaces that secondarily affect the orbit include sinonasal carcinomas, inverted papillomas, zygomycoses, Wegener granulomatosis, and mucoceles as well as sinusitis, which may cause orbital cellulitis or abscess. 18 • Orbit, E/elids, and Lacrimal System • The nasal cavity is divided into 2 nasal fossae by the nasal septum. The lateral wall of the nose has 3 bony projections: the superior, middle, and inferior conchae (turbinates).

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