This is a work of solo authorship covering the eye, orbit, and periorbital structures (lids, lacrinal glands, adnaxae).

This book is designed to provide the busy ophthal inftammation, lacrimal gland tumors and inftamma mologist with a practieal guide to the management tion, lacrimal sac tumors and inftammation, and of lid and ocular adnexal disease. The book encom lid tumors and inftammations. passes more than tumors simply because other in This book provides the ophthalmologist with a ftammatory conditions may mimic tumors in their step-by-step approach to patients with lid and orbital presentation and vice versa. It is not meant to be tumors and inftammations. an encyclopedie, definitive work on a single subject, organized around individual disease entities; instead Acknowledgments it approaches the patient much as clinician does. It concentrates on the patient and considers various disease processes logieally. Work -up, differential We wish to thank all the referring doctors who diagnosis, and initial treatment are discussed. have allowed us to treat their patients with orbital When any patient presents with an orbital or an and ocular adnexal disease and without whom a ocular adnexal mass, the question that needs to be book of this type would have been impossible. We answered is whether the process is due to inftamma also would like to give special thanks to our teachers, Dr. Lorenz E. Zimmerman and Dr. Byron Smith.

Drawing from the knowledge and expertise of more than 70 contributing international experts, Diseases and Disorders of the Orbit and Ocular Adnexa thoroughly covers the state of the art in orbital and periocular disease from the perspective of a variety of specialties. Clearly written and profusely illustrated, it covers the clinical presentation, pathophysiology, natural history, and management alternatives of disease processes affecting the orbit, eyelids, lacrimal system, and upper face. With a singular focus on the diagnosis and management of orbital and ocular adnexal disease, this authoritative text gives you the information you need to excel both in practice and on exams in the specialty of ophthalmic plastic and reconstructive surgery. - Offers an in-depth and thorough approach to the pathophysiology of oculoplastics and orbital disease, incorporating the perspectives of numerous specialties – all in one convenient volume. - Uses an easy-to-follow, templated format throughout so you can find what you need quickly. - Covers new information not included in other texts, such as antibody testing in dysthyroid conditions and a rapidly emerging array of targeted immunosuppressive medications for the treatment of inflammatory orbital disease. - Includes hot topics such as the classification and management of orbital inflammatory disease; vascular neoplasms and malformations; periocular dermatology; burn management; facial paralytic disease; and the pathogenesis, evaluation and management of lymphoproliferative disease. - Features more than 1,200 high-quality clinical, imaging, and histological illustrations that provide clear visual examples of orbital disease. - Written by an international team of experts from five continents (across multiple specialties including ophthalmology, dermatology, burn management, plastic surgery, otolaryngology, endocrinology, and pathology) led by Dr. Aaron Fay and Dr. Peter J. Dolman.

When a specimen representing a tumour or tumour-like lesion of the eye or ocular adnexa is received in most general surgical pathology laboratories, the immediate reaction is one of panic, because these tumours are rarely encountered and often require complex gross dissections based on a knowledge of ocular anatomy that most general surgical pathologists have either never possessed or have long since forgotten. The authors of this volume state that their main objective is to emphasise the important features of these lesions that are of special interest to general and surgical pathologists. In addition to providing complete descriptions of the tumours and tumour-like lesions in the various compartments of the eye and ocular adnexa, the authors correlate the pathologic features with epidemiologic and pathogenetic observations, clinical features, differential diagnosis, and special studies including immunohistochemistry and various molecular approaches. Each anatomic site has a section on normal anatomy and histology and there is a separate chapter on the pathologic examination of ocular specimens so that the general pathologist can approach these uncommonly-encountered specimens with confidence. Because of its scholarly, practical, well illustrated and well-referenced approach, this work will appeal to pathologists and ophthalmologists alike.

Orbital Tumors, 2nd edition discusses advances in orbital disease and their treatment, offering readers an up-to-date, single volume reference for orbital tumors. Divided into two parts, this book covers everything from advances in oncogenesis and its relationship to orbital tumors, to medical genetics and the role of imaging in diagnosis of orbital tumors. Additionally, new information on incidence and behavior of tumors resulting from environmental and social trends is included. Written and edited by leaders in the fields of ophthalmology and oncology, Orbital Tumors, 2nd edition builds upon the first edition, proving to be a useful reference for orbital specialists and of significant interest for everyone dealing with orbital pathology from a clinical and scientific point of view.

Written by world-renowned authorities in ocular oncology at the Wills Eye Institute, this text/atlas is a complete pictorial and textual guide to the clinical features, pathology, diagnosis, and management of eyelid, conjunctival, and orbital tumors and pseudotumors. It features 2,532 photographs and surgical drawings—2,137 in full color—that depict the clinical variations, histopathologic characteristics, and treatment of all neoplasms and related lesions. This thoroughly updated edition combines the content of Atlas of Eyelid and Conjunctival Tumors and Atlas of Orbital Tumors and contains over 50 percent new material. Each entity is presented in an easy-to-follow format: a concise description with references on the left-hand page and six illustrations on the right-hand page. The photographs show in precise detail the gross and microscopic features that distinguish each type of lesion. Professional drawings and intraoperative photographs demonstrate key surgical principles and procedures. A companion volume, Intraocular Tumors: An Atlas and Text, Second Edition, is also available. You can order the two books separately, or save 15% by ordering them together as a set.

Since the publication of the first edition of Radiotherapy of Intraocular and Orbital Tumors in 1993 the treatment programs for cure have changed from the dominance of surgical resection to the utilization of radiation therapy with preservation of the eye intact and preservation of vision. In 2002 about 2,300 primary eye tumors will be diagnosed in the United states, 75% of which will be choroidal melanomas, 20% retinoblastomas, and the remainder a wide variety of tumors - malignant lymphoma, rhabdomyosarcomas, liposarcomas, meningiomas, malignant fibrous histiocytomas, etc. Even so, the majority of malignant tumors of the eye are metastatic, primarily from cancers of the lung or breast. The impact of newer imaging studies, including computed tomography, magnetic resonance imaging, and ultrasound with and without contrast medium, have allowed for better tumor definition, more precise treatment techniques, and major improvement in local control, with preservation of the eye intact and excellent survival. The better histologic definition of the tumor has selected more appropriately the cases suitable for adjuvant chemotherapy particularly demonstrated by the combined integrated multimodal treatment of rhabdomyosarcoma without enucleation. Surgical techniques are now being reserved for biopsy and for treatment failures, a dramatic change in treatment approaches since 1993. The second edition by Sagerman and Alberti clearly demonstrates this major change in treatment. The volume explores the impact of diagnostic workup, the role of surgery, the role of external beam radiation therapy, the use of radioactive plaques, photocoagulation, cryotherapy, and other less major surgical procedures.

This represents the most up-to-date text on the diagnosis and surgical treatment of orbital tumors. The heavily illustrated format uses a step-by-step approach guide which will make this the most practical and attractive reference ever published on this topic.

This handbook on orbital, lacrimal and eyelid emergencies deals with such situations in a practical manner guiding the ophthalmologists in accurate handling and making them more proficient and confident in managing vision and life-threatening emergencies. With 51 chapters and more than 350 images, this book covers all the eye emergencies that generalist and specialist ophthalmologists can expect to come across in their day to day practices. It can be argued that the orbit can no more be called ‘Pandora’s Box’ because of the unpredictable nature of its contents. This perception has changed over the years due to the advent of improved diagnostic, in particular, imaging techniques. However, since medical residency provides very little exposure to orbital and adnexal disorders, most clinicians are inexperienced and unsure about their management. Facing an emergency situation where improper management can rapidly worsen the condition leading to blindness or even death of the patient is every ophthalmologist’s nightmare. The emergent nature of these conditions does not always provide for a leeway to refer these patients to an orbit and oculoplasty specialist, who are few and far between. By the time the patient reaches his destination, his vision maybe irrevocably lost. The legal implications of such mismanagement can be significant too. This book is a quick and essential resource to manage and refer eye emergencies with confidence.