Advertisement

Evaluation of the Oculofacial Patient

  • Dan Georgescu
  • Cat Nguyen Burkat
Chapter

Abstract

Thorough history taking and examination are key to the successful treatment of any patient presenting with oculofacial problems or concerns. Most patients presenting with functional concerns expect to look better after surgery, and all patients presenting with cosmetic concerns expect their face to function at least as good after as it did before surgery. In fact, most patients are bothered more by the cosmetic and social consequences of their disease than by the functional ones. As the fine line between “functional” and “cosmetic” is becoming more and more blurry, and especially in view of today’s reimbursement changes, we need to perform a more holistic evaluation of our patients and take into consideration both the functional and the cosmetic aspects.

Keywords

Oculofacial examination Eyelid Orbit Lacrimal Skin aging Midface Cosmetic surgery Blepharoplasty Eye exam Eyelid distraction Dermatochalasis Ptosis 

References

  1. 1.
    Burkat CN, Lucarelli MJ. Tear meniscus level as an indicator of nasolacrimal obstruction. Ophthalmology. 2005;112(2):344–8.CrossRefGoogle Scholar
  2. 2.
    Fagien S. Putterman’s cosmetic oculoplastic surgery. Philadelphia: WB Saunders; 2008.Google Scholar
  3. 3.
    Mauriello JA. Techniques of cosmetic eyelid surgery: a case study approach. Philadelphia: Lippincot Williams & Wilkins; 2004.Google Scholar
  4. 4.
    Tyers AG, Collin JRO. Colour atlas of ophthalmic plastic surgery. Philadelphia: Butterworth-Heinemann; 2002.Google Scholar
  5. 5.
    Georgescu D, Anderson RL, McCann JD. Brow ptosis correction: a comparison of five techniques. Facial Plast Surg. 2010;26(3):186–92.  https://doi.org/10.1055/s-0030-1254328. Epub 2010 Jun 3.CrossRefPubMedGoogle Scholar
  6. 6.
    Georgescu D, Jones Y, McCann JD, Anderson RL. Skin necrosis after calcium hydroxylapatite injection into the glabellar and nasolabial folds. Ophthal Plast Reconstr Surg. 2009;25(6):498–9.CrossRefGoogle Scholar
  7. 7.
    Georgescu D, Anderson RL, McCann JD. Lateral canthal resuspension sine canthotomy. Ophthal Plast Reconstr Surg. 2011;27(5):371–5.CrossRefGoogle Scholar
  8. 8.
    Jones YJ, Georgescu D, McCann JD, Anderson RL. Snip conjunctivoplasty for postoperative conjunctival chemosis. Arch Facial Plast Surg. 2010;12(2):103–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dan Georgescu
    • 1
  • Cat Nguyen Burkat
    • 2
  1. 1.Oculofacial InstituteFort LauderdaleUSA
  2. 2.Department of Ophthalmology and Visual SciencesUniversity of Wisconsin-MadisonMadisonUSA

Personalised recommendations