Oral Sedation Anesthesia Protocol for In-Office Oculoplastic Surgery.

Purpose: To present an oral anesthesia protocol for in-office oculoplastic surgery and to compare safety outcomes and patient and physician experiences to ambulatory surgery center (ASC)-based surgery with intravenous sedation or general anesthesia.

Methods: A prospective study was performed on consecutive patients undergoing surgery at an oculofacial plastic surgery practice. Surgery was performed in an in-office setting using our standardized oral sedation protocol or at an ASC with intravenous sedation or general anesthesia.

What is in a Name? It is Time to Retire the Term "Asian Blepharoplasty".

Purpose: This perspective explores the term "Asian blepharoplasty" and its socioemotional meaning to some patients.

Methods: N/A.

Results: Words have power.

On-Q pump for pain control after orbital implant surgery.

Purpose: To introduce an elastomeric continuous infusion pump for pain control after outpatient orbital implant surgery.

Methods: Retrospective, noncomparative consecutive case series of all patients undergoing enucleation, evisceration, or secondary orbital implantation using the On-Q pain system between August 2004 and January 2006. Postoperative pain score, need for narcotics, and adverse events were recorded.

The modified fasanella-servat procedure: description and quantified analysis.

Purpose: To describe a modified Fasanella-Servat procedure and nomogram for the correction of minimal amounts of ptosis.

Methods: Retrospective review of this modified Fasanella-Servat procedure was performed on 118 eyelids in 86 consecutive patients over 2, 4-year periods by 1 surgeon (S.C.

Using the inferior oblique muscle to augment implant coverage in enucleation surgery.

Purpose: We present a technique modification for enucleation surgery that may decrease implant exposure or extrusion by using native tissue to reinforce the implant at the most susceptible area, specifically the anterior-most aspect.

Methods: An enucleation procedure is performed, and an implant is placed into the orbit. The horizontal rectus muscles are attached to the implant, and the vertical rectus muscles are attached directly to the horizontal muscles.

Small incision preperiosteal midface lift for correction of lower eyelid retraction.

Purpose: Postblepharoplasty lower eyelid retraction is often due to scarring of the middle lamellae and/or vertical shortening of the anterior lamellae. Traditional reconstructive techniques involve a transconjunctival incision combined with a spacer graft. Other techniques involve a subperiosteal midface dissection or limited preperiosteal dissection.

Efficacy and complications of the transconjunctival entropion repair for lower eyelid involutional entropion.

Purpose: To evaluate the efficacy of the transconjunctival entropion repair (TCER) for lower eyelid involutional entropion.

Design: Retrospective, noncomparative, interventional case series.

Participants: One hundred fifty-one eyelids in 120 patients who underwent TCER for involutional entropion over a 12-year period from February 1991 through January 2003.

Multipurpose conical orbital implant in evisceration.

Purpose: To evaluate the safety and efficacy of the porous polyethylene multipurpose conical orbital implant for use in evisceration.

Methods: A retrospective review of 31 eyes that underwent evisceration and received the multipurpose conical orbital implant. The orbits were evaluated at 1 week, 1 month, and 6 months after final prosthetic fitting for implant exposure, superior sulcus deformity, and prosthetic motility.

The smooth surface tunnel porous polyethylene enucleation implant.

Background And Objective: To describe early clinical results with the porous polyethylene smooth surface tunnel (SST) enucleation implant.

Patients And Methods: Uncontrolled, prospective interventional case series of patients undergoing enucleation with placement of the SST implant. This implant consists of a porous polyethylene sphere with a smooth anterior surface containing pre-drilled tunnels to facilitate direct suturing of the rectus muscles to the implant without use of an implant wrap.

Safety of blepharoplasty in patients with preoperative dry eyes.

Objectives: To assess the safety of blepharoplasty in patients with preoperative dry eyes and to report our surgical technique.

Setting: Private practice with academic affiliation.

Design: Retrospective medical chart review of 67 patients with preoperative dry eyes who underwent blepharoplasty.

Conjunctival melting syndrome associated with the use of bovine pericardium wrapping material.

Purpose: To report 18 cases of unusually large, early conjunctival breakdown occurring with the use of bovine pericardium wrapping material for orbital implants.

Methods: Retrospective case series. The clinical course and histopathologic features of 18 cases of early conjunctival breakdown in patients who had undergone orbital implantation of bovine pericardium-wrapped hydroxyapatite or porous polyethylene are reviewed.