Oculoplastics

Mini-Fellowship Overview determination 3 snip Punctal Plasty At Vance Thompson Vision, our mini-fellowship education 1. Do lids elevate after elevating excess tissue? Quickert suture opportunities are specially designed to give primary care Y - pseudoptosis Aesthetic Procedures providers keen insight into the surgical and medical standards N - ptosis 1. BBL core areas of focus. The Oculoplastics Mini-Fellowship 2. Does the patient exhibit a Hering’s sign 2. Skin Tyte addresses various procedures within the area of aesthetics. 3. Phenylephrine testing - Mueller’s muscle 3. Microlaser Peel 4. Pseudoptosis - excess skin adds weight to the - 4. Profractional treatments elevates after lifting skin VII. Pre-Op Management I. Grand Rounds Over Breakfast Photos and Documentation Arnica Montana - homeopathic to limit swelling Review of the day and bruising x2 weeks VTV Philosophies Dry eye evaluation Setting Expectations Cold compress onto 1. Schirmer’s Q&A Lid hygiene 2. Vital staining II. Pre-Op Process 3. Jones testing Eye shields until sutures removed Maxitrol ung 3-4x daily until sutures removed - CC/HPI - Good history and ROS IV. Eyebrow Determination Medication - especially Aspirin and Coumadin then OTC ung x3 months (Vaseline, Aquaphor, Bio Are they aligned with the superior orbital rim? Oil) Allergies Is the patient raising the brows to compensate Sutures removed at 10-14 days after surgery PFSH (Past Family, Social, and Surgical History) for the ptosis? Elective vs. functional surgeries Unilateral or bilateral 1. Irritation from excess folds of eyelid skin rubbing How great is the disparity? together Consideration for a forehead lift 2. Forehead discomfort from overused muscles that strain to lift sagging skin in the eyelid area V. Other Factors 3. Visual field loss Extra skin resting on lashes Objectives Asian descent - elimination of absent eyelid crease to Lateral hooding “Westernize” appearance Develop a better understanding of eyelid Lower lid factors procedures Issues with circulatory, ophthalmological or 1. Steatoblepharon serious medical conditions 2. Festoons Screen and counsel patients better on elective Skin type Overall facial symmetry vs. functional procedures Age Assessment of other skin conditions and appearances - need for aesthetics consults Have a foundation for post-op management III. Testing of eyelid procedures Superior 36 visual field testing - taped/untaped VI. Treatment Understand the importance for dry eye Slit lamp exam - evaluate for DES Blepharoplasty evaluation MRD - margin-reflex distance Browpexy PF - Have an overview of other skin aesthetic LF - levator function Ptosis repair procedures LC - lid crease 1. Levator aponeurosis advancement 2. Fasanella servat ISS - inferior scleral show Create a stronger relationship with partnering Lateral Tarsal Strip Medial Spindal suture optometrists Oculoplastics

Mini-Fellowship Overview Ptosis determination 3 snip Punctal Plasty At Vance Thompson Vision, our mini-fellowship education 1. Do lids elevate after elevating excess tissue? Quickert suture opportunities are specially designed to give primary eye care Y - pseudoptosis Aesthetic Procedures providers keen insight into the surgical and medical standards N - ptosis 1. BBL core areas of focus. The Oculoplastics Mini-Fellowship 2. Does the patient exhibit a Hering’s sign 2. Skin Tyte addresses various procedures within the area of aesthetics. 3. Phenylephrine testing - Mueller’s muscle 3. Microlaser Peel 4. Pseudoptosis - excess skin adds weight to the eyelid - 4. Profractional treatments elevates after lifting skin VII. Pre-Op Management I. Grand Rounds Over Breakfast Photos and Documentation Entropion Arnica Montana - homeopathic to limit swelling Review of the day Ectropion and bruising x2 weeks VTV Philosophies Dry eye evaluation Setting Expectations Cold compress onto eyelids 1. Schirmer’s Q&A Lid hygiene 2. Vital staining II. Pre-Op Process 3. Jones testing Eye shields until sutures removed Maxitrol ung 3-4x daily until sutures removed - CC/HPI - Good history and ROS IV. Eyebrow Determination Medication - especially Aspirin and Coumadin then OTC ung x3 months (Vaseline, Aquaphor, Bio Are they aligned with the superior orbital rim? Oil) Allergies Is the patient raising the brows to compensate Sutures removed at 10-14 days after surgery PFSH (Past Family, Social, and Surgical History) for the ptosis? Elective vs. functional surgeries Unilateral or bilateral 1. Irritation from excess folds of eyelid skin rubbing How great is the disparity? together Consideration for a forehead lift 2. Forehead discomfort from overused muscles that strain to lift sagging skin in the eyelid area V. Other Factors 3. Visual field loss Extra skin resting on lashes Objectives Asian descent - elimination of absent eyelid crease to Lateral hooding “Westernize” appearance Develop a better understanding of eyelid Lower lid factors procedures Issues with circulatory, ophthalmological or 1. Steatoblepharon serious medical conditions 2. Festoons Screen and counsel patients better on elective Skin type Overall facial symmetry vs. functional blepharoplasty procedures Age Assessment of other skin conditions and appearances - need for aesthetics consults Have a foundation for post-op management III. Testing of eyelid procedures Superior 36 visual field testing - taped/untaped VI. Treatment Understand the importance for dry eye Slit lamp exam - evaluate for DES Blepharoplasty evaluation MRD - margin-reflex distance Browpexy PF - palpebral fissure Have an overview of other skin aesthetic LF - levator function Ptosis repair procedures LC - lid crease 1. Levator aponeurosis advancement 2. Fasanella servat ISS - inferior scleral show Create a stronger relationship with partnering Lateral Tarsal Strip Medial Spindal suture optometrists Oculoplastics

Mini-Fellowship Overview Ptosis determination 3 snip Punctal Plasty At Vance Thompson Vision, our mini-fellowship education 1. Do lids elevate after elevating excess tissue? Quickert suture opportunities are specially designed to give primary eye care Y - pseudoptosis Aesthetic Procedures providers keen insight into the surgical and medical standards N - ptosis 1. BBL core areas of focus. The Oculoplastics Mini-Fellowship 2. Does the patient exhibit a Hering’s sign 2. Skin Tyte addresses various procedures within the area of aesthetics. 3. Phenylephrine testing - Mueller’s muscle 3. Microlaser Peel 4. Pseudoptosis - excess skin adds weight to the eyelid - 4. Profractional treatments elevates after lifting skin VII. Pre-Op Management I. Grand Rounds Over Breakfast Photos and Documentation Entropion Arnica Montana - homeopathic to limit swelling Review of the day Ectropion and bruising x2 weeks VTV Philosophies Dry eye evaluation Setting Expectations Cold compress onto eyelids 1. Schirmer’s Q&A Lid hygiene 2. Vital staining II. Pre-Op Process 3. Jones testing Eye shields until sutures removed Maxitrol ung 3-4x daily until sutures removed - CC/HPI - Good history and ROS IV. Eyebrow Determination Medication - especially Aspirin and Coumadin then OTC ung x3 months (Vaseline, Aquaphor, Bio Are they aligned with the superior orbital rim? Oil) Allergies Is the patient raising the brows to compensate Sutures removed at 10-14 days after surgery PFSH (Past Family, Social, and Surgical History) for the ptosis? Elective vs. functional surgeries Unilateral or bilateral 1. Irritation from excess folds of eyelid skin rubbing How great is the disparity? together Consideration for a forehead lift 2. Forehead discomfort from overused muscles that strain to lift sagging skin in the eyelid area V. Other Factors 3. Visual field loss Extra skin resting on lashes Objectives Asian descent - elimination of absent eyelid crease to Lateral hooding “Westernize” appearance Develop a better understanding of eyelid Lower lid factors procedures Issues with circulatory, ophthalmological or 1. Steatoblepharon serious medical conditions 2. Festoons Screen and counsel patients better on elective Skin type Overall facial symmetry vs. functional blepharoplasty procedures Age Assessment of other skin conditions and appearances - need for aesthetics consults Have a foundation for post-op management III. Testing of eyelid procedures Superior 36 visual field testing - taped/untaped VI. Treatment Understand the importance for dry eye Slit lamp exam - evaluate for DES Blepharoplasty evaluation MRD - margin-reflex distance Browpexy PF - palpebral fissure Have an overview of other skin aesthetic LF - levator function Ptosis repair procedures LC - lid crease 1. Levator aponeurosis advancement 2. Fasanella servat ISS - inferior scleral show Create a stronger relationship with partnering Lateral Tarsal Strip Medial Spindal suture optometrists