Diagnostic Atlas of Common Eyelid Diseases by Jonathan J. Dutton

By Jonathan J. Dutton

In contrast to the other resource at the topic, this broad-ranging consultant discusses the pathology, analysis, and therapy of a hundred and twenty eyelid problems together with benign lesions, malignant tumors, and bought and congenital malpositions and ailments. Written by means of prime researchers practiced within the research and administration of those stipulations, this resource is a must have reference for all ophthalmologists, optometrists, dermatologists, otolaryngologists, and basic plastic and reconstructive surgeons taking good care of sufferers with eyelid and ocular adnexal sickness.

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These include metastatic tumors from sites such as the breast or lung. Also included here are infiltrations in the dermis and epidermis of cellular or other materials that secondarily involve eyelid structures. Included here are diseases such as amyloidosis, sarcoidosis, infectious inflammations such as herpes and cellulitis, xanthelamas, acute atopic dermatitis, erythema multiforme, granuloma annulare, and lymphoid and myeloid infiltrates. All exogenous lesions disturb the normal eyelid architechture to some extent, and may be generalized or confined to specific eyelid tissue types.

Apoptotic cells with no remaining nucleus appear as homogenous, eosinophilic, round structures termed colloid bodies or cytoid bodies. Apoptosis requires energy, transcription of new genes, and protein synthesis. Ballooning Degeneration of the Epidermis In ballooning degeneration of the epidermis, marked intracellular edema leads to acantholysis and subsequent formation of an intraepidermal vesicle or bulla. Ballooning degeneration is characteristic of cutaneous viral infections. 36 ■ CHAPTER 5: HISTOPATHOLOGIC TERMINOLOGY Birefringence Birefringence is the splitting of a light wave into two waves that have perpendicular polarizations and speed of travel.

50 ■ CHAPTER 6: SURGICAL MANAGEMENT OF EYELID LESIONS Figure 5 The elliptical excision is used for small lesions where the defect can be closed primarily. Source: From Dutton JJ. Atlas of Ophthalmic Surgery, Volume II. Oculoplastic, Lacrimal, and Orbital Surgery. St. Louis: Mosby Year Book, 1992. Free Tarsoconjunctival Graft For full thickness defects that are too large to close primarily, a graft taken from the posterior surface of the ipsilateral or contralateral upper eyelid will provide both conjunctiva and tarsus to reconstruct the posterior lamella.

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