BACK TO CORE CURRICULUM TOPICS PAGE
1. On a skeleton, review the bones of the orbit, the foramina and which bones they are in, Whitnall's tubercle, and the lacrimal crest. Also review the anatomy of the canalicular system, the number and location of the fat compartments, the position of the inferior oblique muscle, and the position of Lockwood's ligament. (PRS 1997; 99:658)
2. How do you repair a full thickness laceration
of an eyelid margin? Review the layers of the eyelid. Which
layers do you suture? What suture do you use? When do you remove
them?
3. Define the following: epiphora, blepharophimosis,
blepharochalasis, blepharomelasma, dermatochalasis, dystopia, tensilon
test, chemosis.
4. Demonstrate a Schirmer's test. What
are normal values?
Answer...
5. Describe the anatomy of the Oriental eyelid.
How are operations done to Westernize it?
Answer...
6. Your first patient in cosmetic clinic wants
a four-lid blepharoplasty. What history is important? What
will you check on physical exam? Will you do a Schirmer's test?
A snap test? Will you send her to an ophthalmologist? Will
insurance pay for this? (PRS 1988; 82:619)
7. Your second patient in cosmetic clinic has
ptosis. How to you measure it? What pre-op test will you do?
How do you pick from the numerous ways to repair it? When do you
operate on a congenital case? A traumatic case?
Answer...
8. You are late to the operating room so your
attending rips off 20% of your lower lid How would you fix it?
What if it were 50%? What if it were 70%?
Answer...
9. You resect a basal cell carcinoma and remove
50% of the upper eyelid. How should you reconstruct this?
Answer...
11. How do you do a lateral canthal sling?
When should you do it?
13. How do you repair a canalicular injury?
Also how do you do a DCR (dacryocystorhinostomy)?
14. What is blepharospasm and how is it treated?
15. Describe the common eye findings in Horner's
syndrome, Down's syndrome, Graves' disease, neurofibromatosis, and blepharophimosis.
16. What is a Marcus Gunn pupil? What
does it mean and how do you test for it?
17. Your first blepharoplasty patient gets ectropion
post-op. How will you change your next blepharoplasty to prevent
this? (PRS 1990; 85:971)
18. Your first blepharoplasty patient cannot
see in the recovery room. What do you do? Is blindness common
after blepharoplasty? What is its cause if present?
19. You want to try a transconjunctival blepharoplasty.
How do you do it? What are the advantages and disadvantages?
20. Should you do a laser blepharoplasty?