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Curbside Consultation in Ocuplastics: 49 Clinical Questions (Curbside Consultation)


Curbside Consultation in Ocuplastics: 49 Clinical Questions (Curbside Consultation) Cover


Synopses & Reviews

Publisher Comments:

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional texts and references in oculoplastics? Are you seeking brief, evidence-based advice for common clinical dilemmas or complications? Curbside Consultation in Oculoplastics: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a “curbside consultation” between experienced clinicians.

Dr. Robert C. Kersten and Dr. Timothy J. McCulley, have designed this unique reference in which oculoplastic specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with oculoplastics. The unique Q&A format provides quick access to current information related to oculoplastics with the simplicity of a conversation between two colleagues. Images, diagrams, and references are included to enhance the text and to illustrate common clinical dilemmas.

Curbside Consultation in Oculoplastics: 49 Clinical Questions provides information basic enough for residents while also incorporating expert pearls that even high-volume ophthalmologists will appreciate. Residents, fellows, and practicing physicians alike will benefit from the user-friendly and casual format and the expert advice contained within.

Some of the questions that are answered:

• What do I do when a patient on anti-coagulants needs surgery?

• When does an eyelid lesion need to be biopsied?

• What are the general treatment guidelines for Graves’ ophthalmopathy?

• How should I treat bacterial orbital cellulitis?

• How do you distinguish an orbital infection from sterile inflammation?

• When should I be concerned about systemic disease in a patient with blepharoptosis?

• What are the oculoplastic uses of botulinum toxin?

• How do I know when to order an MRI or a CT?


Book News Annotation:

Fifty-six international specialists contribute 49 chapters to a reference text offering practicing ophthalmologists, residents, and fellows expert advice, preferences, and opinions on challenging clinical questions commonly associated with oculoplastics. Structured around the informal, concise, to- the-point, "curbside consult" that typically takes place between practitioners in clinic hallways, over the telephone, at lunch, or by email, the material is presented in a Q&A format. Each chapter opens with the question(s), followed by a response from an oculoplastic specialist. The 49 chapters are organized into sections on upper eyelid malposition and related disorders; lower eyelid malposition and related disorders; eyelid neoplasm; orbital inflammation and infection; orbital neoplasm; trauma; evisceration, enucleation, and the anophthalmic socket; lacrimal drainage system; and cosmetic oculofacial plastic surgery. Illustrated throughout with full-color and b&w photographs and diagrams. Annotation ©2010 Book News, Inc., Portland, OR (

About the Author

 Robert C. Kersten, MD, FACS is Professor of Ophthalmology at University of California San Francisco School of Medicine. He has trained more than 30 postgraduate fellows in oculofacial plastic surgery and authored more than 100 peer-reviewed publications and 30 textbook chapters. He is a member of the Orbit Society and has served on the editorial boards of numerous scientific journals dealing with ophthalmic plastic surgery. He lectures widely on an international basis and has received the Senior Honor Award from the American Academy of Ophthalmology, where he served as editor of the Basic and Clinical Science Course series on Orbit, Eyelids, and Lacrimal System.   

Timothy J. McCulley, MD obtained his medical degree at Washington University School of Medicine in St. Louis in 1995. Following his internship at the University of Hawaii in Honolulu, he completed a residency in Ophthalmology at Stanford University. After residency, Dr. McCulley completed fellowship training in neuro-ophthalmology at The Bascom Palmer Eye Institute, University of Miami. The subsequent 2 years were spent completing subspecialty training in oculoplastic surgery, primarily at the Cincinnati Eye Institute. He subsequently returned to Stanford, where he served as Director of both Ophthalmic Plastic and Reconstructive Surgery and Neuro-Ophthalmology.    

This is the second book edited by Dr. McCulley. He has also contributed to more than 20 book chapters and authored more than 50 peer-reviewed manuscripts. Dr. McCulley serves on numerous journal review boards and is on the editorial board and in charge of the photo-essay section of The Journal of Neuro-Ophthalmology.   

In 2006, Dr. McCulley moved north to The University of California San Francisco, where he currently practices both neuro-ophthalmology and oculoplastic surgery, serves as Director of the Division of Oculoplastic Surgery, and is the primary preceptor for an ASOPRS fellowship.

Table of Contents



About the Editors
Contributing Authors    
Preface xxi
Question 1          How Should I Manage Blepharoptosis?
                                Steven C. Dresner, MD
Question 2          When Should I Be Concerned About Systemic Disease in a Patient With Blepharoptosis?
                                Robert C. Kersten, MD, FACS (co-authored with Chris Thiagarajah, MD)
Question 3          How Should I Manage Exposure Keratopathy Due to Upper Eyelid Retraction Following Blepharoptosis Repair?
                                Gene R. Howard, MD
Question 4          How Do I Manage a Child With Congenital Blepharoptosis?
                                James A. Katowitz, MD (co-authored with William R. Katowitz, MD)
Question 5          How Should I Manage Ectropion?
                                Daniel J. Townsend, MD
Question 6          How Do You Like to Manage Patients With Entropion?
                                Kenneth V. Cahill, MD
Question 7          How Should I Manage Exposure Keratopathy Due to Lower Eyelid Retraction?
                                James R. Patrinely, MD, FACS
Question 8          When Does an Eyelid Lesion Need to Be Biopsied?
Richard Collin, MA, FRCS, FRCOphth, DO (co-authored with Michèle Beaconsfield, FRCS, FRCOphth, FEBO)
Question 9          When Should Mohs Surgery Be Employed?
                                Isaac M. Neuhaus, MD
Question 10        I Need Help Managing Chalazia—Do Steroid Injections Work?
                                Andrew R. Harrison, MD
Question 11        How Do You Manage Actinic Keratosis of the Eyelids?
                                Ann G. Neff, MD
Question 12        How Should Lentigo Maligna Be Managed?
                                Siegrid S. Yu, MD (co-authored with Linda C. Chang, MD and Murray Cotter, MD, PhD)
Section IV         Miscellaneous
Question 13        What Anesthesia Do You Recommend for Office-Based Oculoplastic Procedures?
                                David E. Holck, MD (co-authored with Tatiana Nahas, MD)
Question 14        What Is the Role for Tarsorrhaphy?
                                Gary L. Aguilar, MD
Question 15        What About Anticoagulation?
                                Tamara R. Fountain, MD
Question 16        How Do I Know When to Order an MRI or a CT?
                                Karl C. Golnik, MD, MEd
Question 17        What Is the Best Approach for Trichiasis?
                                David R. Jordan, MD, FACS, FRCSC
Question 18        How Should I Manage Facial Nerve Palsy?
                                Andrew G. Lee, MD
Question 19        How Should I Manage a “Hot” Orbit?
                                James A. Garrity, MD
Question 20        How Should I Treat Bacterial Orbital Cellulitis?
                                Michael T. Yen, MD
Question 21        What Are the General Treatment Guidelines for Graves’ Ophthalmopathy?
                                Jonathan W. Kim, MD
Question 22        When Should Immune Suppression Be Used for Graves’ Ophthalmopathy?
                                Mark J. Lucarelli, MD, FACS
Question 23        Do You Think Radiation Is Ever Indicated for Graves’ Disease?
                                Vikram D. Durairaj, MD
Question 24        What Is the Role of Topical Therapy in Management of Conjunctival  Malignancy?
                                Carol L. Shields, MD
Question 25        How Should I Approach a Lacrimal Gland Tumor?
                                Martín H. Devoto, MD
Question 26        What Should Be Done for the Patient With an Incidental Orbital Tumor?
                                Geoffrey E. Rose, BSc, MBBS, MS, DSc, MRCP, FRCS, FRCOphth
Question 27        What Is the Management of Orbital Lymphoma?
                                Timothy John Sullivan, FRANZCO
Question 28        What Is the Current Management of Benign Reactive Lymphoid  Hyperplasia?
                                Jurij R. Bilyk, MD
Section VII        Trauma
Question 29        What Should I Do When I Suspect an Orbital Fracture?
                                Paul D. Langer, MD, FACS
Question 30        When Should an Orbital Foreign Body Be Removed?
                                Jeffrey A. Nerad, MD, FACS
Question 31        What Is Traumatic Optic Neuropathy?
                                Stuart R. Seiff, MD, FACS
Question 32        What Should I Do for an Orbital Hemorrhage?
                                Michael Kazim, MD
Question 33        How Should Canalicular Lacerations Be Managed?           
Louise A. Mawn, MD, FACS
Question 34        How Do I Decide Whether to Perform an Evisceration or Enucleation?
                                Thomas N. Hwang, MD, PhD
Question 35        I Have a Patient With a Prosthetic Eye. What Can Be Done About a Deep Superior Sulcus?
                                Philip L. Custer, MD
Question 36        How Should I Manage Congenital Nasolacrimal Duct Obstruction?
                                Tina Rutar, MD
Question 37        What Are the Differences Between an Internal (Endoscopic) and External Dacryocystorhinostomy?
                                François Codère, MD
Question 38        How Should I Manage Canaliculitis?
                                Bryan S. Sires, MD, PhD
Question 39        When Should Patients With Acquired Nasolacrimal Duct Obstruction Be Imaged?             
                                Thomas E. Johnson, MD
Question 40        What Is Your Preferred Management of Dacryocystitis?
                                Peter A.D. Rubin, MD, FACS
Question 41        What Are the Oculoplastic Uses of Botulinum Toxin?
                                Timothy J. McCulley, MD (co-authored with Michael K. Yoon, MD)
Question 42        What Are the Current Thoughts on Blepharoplasty?
                                Peter S. Levin, MD
Question 43        How Can I Address Midface Descent and Volume Depletion?
                                Roger A. Dailey, MD, FACS
Question 44        What Are “Fillers” and When Should They Be Used?
                                Rona Z. Silkiss, MD, FACS
Question 45        What Is the Difference Between Laser Resurfacing and Chemical Peels?
                                Jerry K. Popham, MD, FACS
Question 46        What Are the Surgical Options for Brow Lifting?
                                John D. McCann, MD, PhD (co-authored with Dan Georgescu, MD, PhD)
Question 47        What Is Latisse?
                                Timothy J. McCulley, MD (co-authored with Michael K. Yoon, MD)
Question 48        How Do I Manage the Unhappy Cosmetic Patient?
                                John B. Holds, MD, FACS
Question 49        How Do I Manage Lower Eyelid Malposition Following Lower Eyelid Blepharoplasty?
Jill A. Foster, MD, FACS (co-authored with Craig N. Czyz, DO, FACOS and Kelly R. Everman, MD)
Financial Disclosures


Product Details

Kersten, Robert C.
McCulley, Timothy J.
Kersten, R.
Surgery - Plastic & Cosmetic
Health and Medicine-Medical Specialties
Edition Description:
Trade Paper
Curbside Consultation
Publication Date:
10.00 x 7.00 in

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