External dacryocystorhinostomy is one of the common surgical procedures in ophthalmology. An understanding of lacrimal anatomy helps in optimization of surgical technique and the outcome. This instructional video provides a systematic approach to a successful external dacryocystorhinostomy.

Therapeutic Probing for Congenital Nasolacrimal Duct Obstruction

Author: Dr. Honavar Santosh G.
Year of Publication: 2005
TRT: 02:16 min

The procedure of therapeutic probing is demonstrated for congenital nasolacrimal duct obstruction.

Jones Procedure for Lower Eyelid Senile Entropion

Author: Dr Naik Milind N., Dr. Honavar Santosh G.
Year of Publication: March 2005
TRT: 03:36 min

In this video, we shall demonstrate the Jones procedure in a patient with lower eyelid senile entropion without horizontal laxity.

Lateral Tarsal Strip Procedure

Author: Dr Milind N Naik
TRT: 03:23 min
Year of Publication: March 2005

The lateral tarsal strip procedure corrects any laxity of the lower eyelid, lower eyelid ectropion and entropion. The procedure is demonstrated.

Radio Frequency Tarsal Wedge Resection

Author: Dr Milind N Naik
Year of Publication: June 2005
TRT: 04:53 min

Tarsal wedge resection is an effective surgery for correction of mild to moderate upper eyelid cicatricial entropion in patients with normal tarsal thickness. The procedure of upper eyelid tarsal wedge resection performed with Ellman radio frequency cautery is demonstrated.

Enucleation by the Myoconjunctival Technique

Authors: Dr Santosh G.Honavar, Dr Savari Desai
Year of Publication: 2006
TRT: 08:10 min

Enucleation of the eye is often considered a failure for an ophthalmologist and the end of a professional relationship. On the contrary, it is the beginning of a new relationship aimed at providing optimal cosmesis and maintaining a healthy socket. This video demonstrates enucleation by the myoconjunctival technique with a non-integrated ocular implant. The recti are attached to the posterior aspect of conjunctiva-Tenons close to the respective fornix. The myoconjunctival technique provides better prosthesis mobility and reduces the risk of implant displacement.

Exophthalmometry: Principles and Applications

Authors: Ms.Tyagi Garima, Dr Naik Milind N., Dr Honavar Santosh G.
Year of Publication: December, 2004
TRT: 05:57 min

Exophthalmometry is a useful diagnostic test in all cases of orbital disorders. It measures the displacement of the eye in relation to the lateral orbital rim.

With a wide range of measuring devices available today, it is important that clinicians adopt a standardized method of using them in diagnosis. This video shows different types of orbital displacement and elaborates the use of the Hertel and Luedde exophthalmometers. Types of exophthalmometry, factors affecting measurements, sources of error with different exophthalmometers and ways of avoiding them are also demonstrated.

Lateral Orbitotomy: A Systematic Approach

Authors: Dr Honavar Santosh G., Dr Naik Milind N.
Year of Publication: January, 2004
TRT: 07:17 min

Lateral orbitotomy is indicated in tumors within the muscle cone, postero-lateral orbit, or lacrimal gland fossa. We present here the surgical steps of Lateral Orbitotomy performed for a lacrimal gland tumor. The basic surgical approach and principles involved are illustrated in this instructional video.

Vertical Lid-Split Orbitotomy: A step by step approach

Authors: Dr Santosh G. Honavar, Dr Savari Desai
Year of Publication: 2008
Duration: 07:00

The goal of orbitotomy surgery is to provide the best surgical exposure, the least surgical trauma to orbital structures and good cosmesis for the patient. Orbitotomies are categorized according to their unique technique. The Vertical Lid Split Orbitotomy allows us direct access to lesions located in the superonasal region, present in the intra- and extra-conal compartments. We illustrate the relevant anatomy and demonstrate the surgical steps that make the vertical lid split orbitotomy a versatile and easy-to-learn procedure.

Botulinum Toxin Injection: The Sting that Soothes

Author: Dr.Naik Milind N.
TRT: 10:01 min
Year of Publication: March, 2004

We introduce you here to the many applications of botulinum toxin in ophthalmic plastic surgery. This instructional video guides you through the mechanism of action and reconstitution of botulinum toxin, the indications for its use and contraindications and its application in benign essential blepharospasm, hemifacial spasms, induction of temporary ptosis and lower eyelid senile entropion.

Gold Weight Implant for Facial Palsy: Trial and Surgical Technique

Author: Dr Anagha Medsinge
Year of Publication: 2007
TRT: 06:51 min

Eyelid gold weight implantation is a treatment of choice for the management of paralytic lagophthalmos. The ideal gold weight is predicted by the gold weight trial procedure, which is performed in the outpatient clinic. We demonstrate both the gold weight trial procedure for selecting the ideal gold weight implant and the surgical technique of implantation. Viewing this video will enable the comprehensive ophthalmologist to master the technique of eyelid gold weight implantation.

The Eyelid Lift Adjustable Ptosis Surgery

Authors: Dr Naik Milind N., Dr. Honavar Santosh G.
TRT: 08:11 min
Year of Publication: August, 2005

Adjustable suture is an alternative to intra-operative calculations of levator resection and eyelid height placement during ptosis surgery. It allows the surgeon to avoid the effects of intraoperative local anaesthesia, epinephrine, recumbent position and gravity on the post-operative eyelid height. We describe a modified technique of post-operative suture adjustment where the eyelid is “lifted” to the desired height by tightening the cardinal sutures. This technique eliminates the need of frost suture, does not require anaesthesia for suture adjustment, and provides simultaneous creation of eyelid crease.

Ocularistry: The Face of the Future

Authors: Dr.Honavar Santosh G., Mr. Raizada Kuldeep
Year of Publication: October, 2003
TRT: 14:02 min

The making of a custom ocular prosthesis is both an art and a science. Using appropriate materials, we demonstrate the procedure involved. We also present some conditions of the eye that were referred for ocular prosthesis fitting. Patients of all ages benefit immensely with the use of a custom prosthesis be it in cases of enucleation, evisceration, phthisis bulbi, atrophic bulbi, corneal scar or microphthalmos. The psychological and cosmetic relief bestowed on the wearer of the artificial eye is remarkably life giving.

Awards: Best Video in International Conference of Ocular Oncology (ICOO) Hyderabad, 2004, and Best Presentation, 7th All India Optometric Conference, Feb 7 – 8, 2004, Kolkata

Cosmetic Management of Blind Eyes

Author: Dr.Ekta Aggarwal, Dr Kuldeep Raizada
List of All Authors: Dr Ekta Aggarwal, Dr Kuldeep Raizada, D Deepa Rani, Dr Anirban Bhaduri, Dr Ramesh Murthy, Dr Milind N Naik, Govardhan Babu Kolli, Gangadhar Jalli, Shobha Mocherla, Dr Santosh G Honavar

TRT: 10:00 min
Year of Publication: 2007

Blind and disfigured eyes demand skilled cosmetic management, calling on the combined aesthetic and practical skills of both the ophthalmologist and the ocularist. The aim is to provide the best fit for cosmetic contact lenses, thin scleral shells and prostheses to replace the patient’s non-seeing eye.

Our video will guide you through the decisive stages that bestow a normal appearance to a disfigured socket or eye, disfigured from birth or acquired later in life. You will learn how a congenital anophthalmic socket is gently urged to normal size with socket expanders and then fitted with a prosthetic eye. The management of acquired disfigurement too is illustrated. Viewing this video will give you an overview of the cosmetic management of non-seeing eyes.