Skip to main content
SpringerLink
Log in

Surgical Anatomy and Pathology in Surgery of the Eyelids, Lacrimal System, Orbit and Conjunctiva

  • Chapter
Applied Pathology for Ophthalmic Microsurgeons

Abstract

The eyelids, lacrimal system, orbit and conjunctiva play an important role in the protection and function of the eyes. Many diseases altering the structure or function of the eyelds, conjunctiva, lacrimal system and/or orbit threaten vision.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adenis JP, Morax S: Pathologie orbito-palpébrale. Paris: Masson; 1998

    Google Scholar 

  • American Joint Committee on Cancer: Carcinoma of the eye-lid. In: AJCC: Cancer staging manual — sixth edition. New York: Springer; 2002: 349–354

    Google Scholar 

  • Collin JRO: A manual of systematic eyelid surgery. London: Butterworth Heinemann; 2006

    Google Scholar 

  • Colombo F et al: Merkel cell carcinoma: Clinicopathologic correlation, management, and follow-up in five patients. Ophthal Plast Reconstr Surg 2000;16:453–458

    Article  PubMed  CAS  Google Scholar 

  • Conway RM et al: Frequency and clinical features of visceral malignancy in a consecutive case series of patients with periocular sebaceous gland carcinoma. Graefes Arch Clin Exp Ophthalmol 2004;242:674–678

    Article  PubMed  Google Scholar 

  • Conway RM, Themel S, Holbach LM: Surgery for primary basal cell carcinoma including the eyelid margins with intraoperative frozen section control: comparative interventional study with a minimum clinical follow-up of 5 years. Br J Ophthalmol 2004; 88: 236–238

    Article  PubMed  CAS  Google Scholar 

  • Font RL: Eyelids and lacrimal drainage system. In: Spencer WH (ed): Ophthalmic pathology. Vol. 4. Philadelphia, London, Tokyo: WB Saunders; 1996

    Google Scholar 

  • Holbach LM et al: Differential diagnosis of lid tumors — Part 1 [in German]. Ophthalmologe 2002;99:394–413

    Article  PubMed  CAS  Google Scholar 

  • Holbach LM et al: Differential diagnosis of lid tumors — Part 2 [in German]. Ophthalmologe 2002;99:490–509)

    Article  PubMed  CAS  Google Scholar 

  • Hübner H: Chirurgische Therapie der Lidtumoren. I. In: Lommatzsch PK (ed): Ophthalmologische Onkologie. Stuttgart: Enke; 1999:48–61

    Google Scholar 

  • Kröner B. Multiple ischemic infarction in the retina and uvea due to crystalline corticosteroid embolism following subcutaneous facial infections (in German). Klin Monatsbl Augenheilkd 1981; 178: 121–123

    Article  PubMed  Google Scholar 

  • Kruse FE et al.: Konjunktiva. In: Naumann GOH et al.: Pathologie des Auges. Vol. 1. Berlin, Heidelberg: Springer; 1997:398

    Google Scholar 

  • Schlötzer-Schrehardt U et al: The pathogenesis of floppy eyelid syndromeinvolvement of matrix metalloproteinases in elastic fiber degradation. Ophthalmology 2005;112:694–704

    Article  PubMed  Google Scholar 

  • Shields JA, Shields CL: Atlas of eyelid and conjunctival tumors. Philadelphia: Lippincott Williams’ Wilkins; 1999

    Google Scholar 

  • Tyers AG, Collin JRO: Colour atlas of ophthalmic plastic surgery. London: Butterworth Heinemann; 2001:10–11;12

    Google Scholar 

References

  • Busse H: Classical lacrimal apparatus surgery from the ophthalmological viewpoint [in German]. Ophthalmologe 2001; 98:602–606.

    Article  PubMed  CAS  Google Scholar 

  • Emmerich KH, Busse H, Meyer-Rüsenberg HW: Dacryocystorhinostomia externa. Technique, indications and results (in German). Ophthalmologe 1994; 91:395–398

    PubMed  CAS  Google Scholar 

  • Font RL: Eyelids and lacrimal drainage system. In: Spencer WH (ed): Ophthalmic pathology. Vol. 4. Philadelphia, London, Tokyo: WB Saunders; 1996:2412–2427

    Google Scholar 

  • Hurwitz JJ (ed): The lacrimal system. Philadelphia: Lippincott-Raven; 1996

    Google Scholar 

  • Iro H, Waldfahrer F: Endonasal lacrimal apparatus surgery from ENT specialist viewpoint (in German). Ophthalmologe 2001; 98: 613–616

    Article  PubMed  CAS  Google Scholar 

  • Kottier UB et al: Epiphora und Konjunktivitis seit 6 Jahren. Ophthalmologe 2004;101:730–732

    Google Scholar 

  • McNab AA: Manual of orbital and lacrimal surgery. Edinburgh: Churchill Livingstone; 1994

    Google Scholar 

  • Olver J: Colour atlas of lacrimal surgery. London, Butterworth-Heinemann, 2002

    Google Scholar 

  • Rose GE: The lacrimal paradox: toward a greater understanding of success in lacrimal surgery. Ophthal Plast Reconstr Surg 2004;20:262–265.

    Article  PubMed  Google Scholar 

  • Struck HG, Weidlich R: Indications and prognosis of dacryocystorhinostomy in childhood. A clinical study 1970–2000. Ophthalmologe 2001;98:560–563

    Article  PubMed  CAS  Google Scholar 

  • Thale A et al. Functional anatomy of the human efferent tear ducts: a new theory of tear outflow mechanism. Graefes Arch Clin Exp Ophthalmol 1998; 236:674–678

    Article  PubMed  CAS  Google Scholar 

References

  • American Joint Committee on Cancer: Cancer staging manual — sixth edition. New York: Springer;2002: 377–406

    Google Scholar 

  • Colombo F, Naumann GOH, Holbach LM Chronic inflammation in dermoid cysts: a clinicopathologic study of 115 patients. Orbit 2000;19:97–107

    Article  PubMed  Google Scholar 

  • Colombo F et al: Primary intraosseous cavernous hemangioma of the orbit. Am J Ophthalmol 2001;131:151–152

    Article  PubMed  CAS  Google Scholar 

  • Cursiefen C et al: Orbital lymphangioma with positive immunohistochemistry of lymphatic endothelial markers (vascular endothelial growth factor receptor 3 and podoplanin). Graefes Arch Clin Exp Ophthalmol 2001;239:628–632

    Article  PubMed  CAS  Google Scholar 

  • Garner A, Klintworth GK (ed): Pathobiology of ocular disease. 2nd ed(Part B). New York, Basel, Hong Kong, Marcel Dekker;1994

    Google Scholar 

  • Guthoff R, Katowitz JA: Oculoplastics and orbit. Berlin, Heidelberg, New York: Springer;2006

    Google Scholar 

  • Guthoff RF, Schittkowski MP, Klett A: Methods to improve prosthesis motility in enucleation surgery without pegging and with emphasis on muscle pedunculated flaps. In: Guthoff, Katowitz (Eds) Oculoplastics and Orbit, Essentials in Ophthalmology, Springer 2006;223–235

    Google Scholar 

  • Hintschich C, Haritoglou C: Full thickness eyelid transsection (blepharotomy) for upper eyelid lengthening in lid retraction associated with Graves’ disease. Br J Ophthalmol 2005; 89:413–416

    Article  PubMed  CAS  Google Scholar 

  • Hintschich C, Rose G: Tumors of the orbit. In: Tonn JC, Westphal M, Rutka JT, Grossman SA (ed): Neuro-oncology of CNS tumors. Berlin, Heidelberg, New York: Springer; 2005: 269–290

    Google Scholar 

  • Holbach LM et al: Immunocytochemical diagnosis of embryonic rhabdosarcoma of the orbit. Klin Monatsbl Augenheilkd 1989;195:190–195

    PubMed  CAS  Google Scholar 

  • Holbach LM et al: Langerhans-cell histiocytosis of the orbit; diagnosis, treatment and outcome in three patients — children and adults [in German]. Klin Monatsbl Augenheilkd 2000;217:370–373

    Article  PubMed  CAS  Google Scholar 

  • Holbach LM et al: Solitary fibrous tumor of the orbit presenting 20 years after Hodgkin’s disease. Orbit 2002;21:49–54

    Article  PubMed  Google Scholar 

  • Jakobiec FA, Bilyk JR, Font RL: Orbit. In: Spencer WH (ed): Ophthalmic pathology. Vol. 4, Philadelphia, London, Tokyo: WB Saunders;1996

    Google Scholar 

  • Kahaly GJ, Pitz S, Hommel G, Dittmar M. Randomized, single blind trial of intravenous versus oral steroid monotherapy in Graves’ Orbitopathy. J Clin Endocrinol Metab. 2005 Sept; 90(9):5234–5240)

    Article  PubMed  CAS  Google Scholar 

  • Koornneef L Orbital septa: anatomy and function. Ophthalmology 1979;86:876–880

    PubMed  CAS  Google Scholar 

  • Kottier UB et al: Orbital involvement in multiple myeloma: first sign of insufficient chemotherapy. Ophthalmologica 2003; 217:76–78

    Article  Google Scholar 

  • McNab AA: Manual of orbital and lacrimal surgery. Edinburgh, London, Madrid, Melbourne, New York, Tokyo: Churchill Livingstone;1994

    Google Scholar 

  • Mourits MP, Sasim IV: A single technique to correct various degrees of upper lid retraction in patients with Graves’ orbitopathy. Br J Ophthalmol 1999;83:81–84

    PubMed  CAS  Google Scholar 

  • Mourits MP et al: Clinical activity score as a guide in the management of patients with Graves’ ophthalmopathy. Clin Endocrinol (Oxf), 1997; 47:9–14

    Article  CAS  Google Scholar 

  • Paridaens DA, Verhoeff K, Bouwens D, van den Bosch WA: Transconjunctival orbital decompression in Graves’ ophthalmopathy: lateral wall approach ab interno. Br J Ophthalmol 2000;84:775–781

    Article  PubMed  CAS  Google Scholar 

  • Rohrbach JM, Lieb WE: Tumors of the eye and its adnexae [in German]. Stuttgart, New York: Schattauer;1998

    Google Scholar 

  • Rootman J: Diseases of the orbit. A multidisciplinary approach. Philadelphia: Lippincott Williams’ Wilkins, 2nd edn., 2003

    Google Scholar 

  • Rose GE, Wright JE: Isolated peripheral nerve sheath tumours of the orbit. Eye 1991;5:668–673

    PubMed  Google Scholar 

  • Shields JA, Shields CL: Atlas of orbital tumors. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo: Lippincott Williams’ Wilkins; 1999

    Google Scholar 

  • Wright JE, Rose GE, Garner A: Primary malignant neoplasms of the lacrimal gland. Br J Ophthalmol 1992;76:401–407

    Article  PubMed  CAS  Google Scholar 

References

  • Cursiefen C, Chen L, Saint-Geniez M, Hamrah P, Jin Y, Rashid S, Pytowski B, Streilein JW, Dana MR. Nonvascular VEGF receptor 3 expression by corneal epithelium maintains avascularity and vision. Proc Natl Acad Sci USA. 2006; 103: 11405–11410

    Article  PubMed  CAS  Google Scholar 

  • Cursiefen C, Jacobi C, Dietrich T, Kruse FE. [Current treatment for dry eye syndrome], Ophthalmologe 2006;103:18–24

    Article  PubMed  CAS  Google Scholar 

  • Cursiefen C. Corneal immune and angiogenic privilege. In: Niederkorn J, Kaplan H. Immune privilege and the eye. Chem Immunol Allergy 2007;92:50–57

    Google Scholar 

  • Gottschalk K, Rummelt C, Cursiefen C. [Conjunctival chemosis resistant to therapy] Klin Monatsbl Augenheilkd. 2006; 223:696–698

    Article  PubMed  CAS  Google Scholar 

  • Jacobi C, Dietrich T, Cursiefen C, Kruse FE. [The dry eye. Current concepts on classification, diagnostics, and pathogenesis]. Ophthalmologe 2006;103:9–17

    Article  PubMed  CAS  Google Scholar 

  • Kruse FE, Cursiefen C, Seitz B, Holbach L, Völcker H, Naumann GOH. [Classification of ocular surface disease. Part 1.] Ophthalmologe. 2003;100:899–915

    Article  PubMed  CAS  Google Scholar 

  • Naumann GOH, Lang GK, Rummelt V, Wigand M. Autologous nasal mucosa transplantation in severe bilateral conjunctival mucous deficiency syndromes. Ophthalmology 1990; 97: 1011–1017

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, University of Erlangen-Nürnberg, Schwabachanlage 6, D-91054, Erlangen, Germany

    Ludwig M. Heindl Dr. med., Leonard M. Holbach Prof. Dr. med., Anselm Jünemann Prof. Dr. med., Claus Cursiefen Priv.-Doz. Dr. med., Friedrich E. Kruse Prof, Dr. med. & Gottfried O. H. Naumann Prof. (enter.) Dr. med. Dr. h.c. (mult.)

  2. Department of Ophthalmology, Rostock University, Doberaner Strasse 140, D-18057, Rostock, Germany

    Rudolf F. Guthoff Prof. Dr. med.

Authors
  1. Ludwig M. Heindl Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Leonard M. Holbach Prof. Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Anselm Jünemann Prof. Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rudolf F. Guthoff Prof. Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Claus Cursiefen Priv.-Doz. Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Friedrich E. Kruse Prof, Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Gottfried O. H. Naumann Prof. (enter.) Dr. med. Dr. h.c. (mult.)
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, University of Erlangen-Nürnberg, Schwabachanlage 6, D-91054, Erlangen, Germany

    Gottfried O. H. Naumann Prof. (emer.) Dr. med. Dr. hc. (mult.) , Leonard M. Holbach Prof. Dr. med.  & Friedrich E. Kruse Prof. Dr. med. ,  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Heindl, L.M. et al. (2008). Surgical Anatomy and Pathology in Surgery of the Eyelids, Lacrimal System, Orbit and Conjunctiva. In: Naumann, G.O.H., Holbach, L.M., Kruse, F.E. (eds) Applied Pathology for Ophthalmic Microsurgeons. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68366-7_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68366-7_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-24189-8

  • Online ISBN: 978-3-540-68366-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation