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Biomedical subjects

R P Carroll

Publications and source records attributed to R P Carroll.

At least 19 recordsLinked to original sources
PubMed1993

Dermatochalasis and dry eye.

The medical records of 141 patients with dermatochalasis seen during the 32-month period of January 1989 through August 1991 were reviewed. Patients were classified on the basis of symptoms and mode of treatment and were examined for effectiveness of blepharoplasty in ameliorating these symptoms. Seventy-three patients (51.8%) had symptoms similar to those found in keratoconjunctivitis sicca, including mattering, burning, itching, redness, epiphora, foreign-body sensation, and photophobia. Of these 73 patients, 38 (52.1%) underwent upper eyelid blepharoplasty. Subjective improvement in symptoms was achieved in 33 of these patients (86.8%) postoperatively. Upper eyelid blepharoplasty may represent an effective component in the treatment of patients with dermatochalasis and dry-eye symptoms.

Aged↗
PubMed1992

En bloc resection in upper eyelid blepharoplasty.

Upper eyelid blepharoplasty as traditionally performed may fail to adequately debulk the eyelids especially in the middle age or older patient. A technique used by the senior author for the past 10 years is described. The en bloc resection of redundant upper eyelid tissue can be readily combined with other procedures.

Eyelids↗
PubMed1992

Transconjunctival surgery.

Transconjunctival surgery provides excellent exposure of the inferior orbit, leaves no visible scar, and poses less risk of the complications typically associated with transcutaneous techniques. The transconjunctival approach can be combined with lateral canthal techniques to increase exposure and surgical options. We review applications of the transconjunctival approach in blepharoplasty, the repair of orbital floor fractures, socket reconstruction, inferior orbital tumor excision, and orbital decompression.

Conjunctiva↗
PubMed1991

Combined procedure for repair of involutional entropion.

Combined procedures that address multiple etiologic factors in involutional entropion are not new, but ophthalmic surgeons have been slow to accept this surgical approach. Traditional procedures that correct only one or two of the etiologic factors have a high incidence of recurrent entropion. The purpose of this article is to encourage the use of a combined procedure in the treatment of all cases of primary and recurrent entropion to minimize recurrences. Between 1983 and 1989, 127 consecutive eyelids with involutional entropion in 97 patients were operated by the senior author (R.P.C.) using the procedure described in this paper. Of these eyelids, 39% (49) had previous surgery and 22% (28) had more than one previous procedure. Although occasional minor postoperative problems occurred, they were readily managed, and there have been no known recurrences of entropion with an average follow-up of 33 months.

Entropion↗
PubMed1989

Putting "peer" into PRO.

Tracing Medicare peer review from its inception to the present day, this article focuses on the Texas problems with the state's peer review organization and the solutions brought about by the Texas Medical Association Physician-Patient Advocacy Committee. The author traces his personal involvement in the process to illustrate what impact can be made by any physician in the state through involvement in organized medicine. Lessons learned and messages for the future cap off this overview of peer review in Texas.

Medicare↗
PubMed1988

Cautery dissection in levator surgery.

This report describes a new technique that facilitates dissection of tissue planes and essentially eliminates intraoperative bleeding, two of the most frequently encountered problems during levator surgery. The described technique has been used in more than 450 consecutive eyelids with congenital and acquired ptosis requiring levator surgery. Disinsertion or dehiscence of the aponeurosis was found in less than 5% of the cases of involutional ptosis.

Blepharoptosis↗
PubMed1987

Whitnall's sling.

Explore the source record for details and available documents.

Blepharoptosis↗
PubMed1986

Cystic lesions of the eyelid following ptosis repair.

The formation of epithelial cysts and pseudocysts of the eyelid is an uncommon complication of ptosis surgery. These lesions may originate at the time of surgery from the burying of conjunctival epithelium, from obstruction of the gland of Krause, or from injury to the main lacrimal gland or duct. Although surgical excision effectively cures lesions stemming from buried conjunctiva or obstruction of the gland of Krause, lacrimal gland pseudocysts must be drained into the conjunctival fornix. These complications are best avoided by a thorough understanding of eyelid anatomy and by meticulous surgical dissection.

Adult↗
PubMed1983

Entropion following the Cutler-Beard procedure.

Cicatricial entropion is one of several complications that may occur following the Cutler-Beard procedure in upper eyelid reconstruction. Three of ten eyelids developed this complication and were treated successfully. The incidence of entropion following this procedure should be decreased if a tarsal substitute is provided at the time of the initial operation. A composite graft from the nasal septum, a tarsoconjunctival flap from the opposing lower lid, preserved sclera, or autogenous ear cartilage are acceptable tarsal substitutes that can provide the necessary stability to the reconstructed eyelid.

Adenocarcinoma↗
PubMed1980

Preventable problems following the Fasanella-Servat procedure.

While the Fasanella-Servat Procedure is a reliable and technically simple operation, less than optimal results are frequently encountered. Proper patient selection, adequate patient evaluation, and meticulous surgical technique are as essential in this procedure as they are in more involved ophthalmic plastic procedures.

Adult↗
PubMed1978

Congenital medial canthal tendon malposition.

This report describes the characteristics and treatment of a syndrome in which the predominant ophthalmic defect is a congenital malposition of the medial canthal tendon. The syndrome is illustrated by 3 patients, each of whom had associated nasal deformities on the ipsilateral side. These congenital anomalies most likely resulted from an arrest in development during the second month of embryonic life. A combined effort by the ophthalmic plastic surgeon, the general plastic surgeon, and the otolaryngologist has been found useful in the management of these patients.

Coloboma↗
PubMed1977

An unusual knife injury to the orbit: a case report.

A perforation of the left orbit by a five-inch knife blade was sustained by a 30-year-old woman. In spite of the knife's course through a myriad of vital structures, the only significant injury was a laceration of the lateral canthal tendon. Following surgical repair the patient recovered with no residual problems.

Adult↗