This book is a practical guide for anyone who performs eyelid surgery, whatever their specialty, and is particularly relevant for ophthalmologists in training and non-oculoplastic surgeons who may venture into this field. The step-wise text is supported by numerous original illustrations. It emphasises a logical, minimalist approach to lid surgery and challenges some popular practices.
The novel techniques unique to this volume may be of interest to experienced oculoplastic surgeons. They include emphasis on the superiority of Meibomian orifice line lid traction suture placement over using the grey line. This makes bolsterless suture tarsorrhaphy a viable and better alternative to temporary surgical tarsorrhaphy. Maximal use of
direct closure
and
directed laissez-faire
encourages tissue expansion in eyelid reconstruction, aided greatly by the placement of a
magic suture
. The seductively simple
medial canthal thermoplasty
corrects medial lid laxitywithout dissection. The control of active thyroid eye disease with orbital depot steroid injections, the importance of full orbital volume replacement after eye removal and the superiority of
modified Bick lid margin resection
over the lateral tarsal strip for lid tightening are further departures from traditional practice.