Course Content
Module 01: Introduction
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3 Topics
Surface Anatomy
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Lid margin – Punctum
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Eyelid Zones
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Module 02: Clinical Anatomy (The key to the surgery)
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5 Topics
Osteology
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Trochlea
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Layers of the eyelid
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Sagittal cross-section of the eyelid
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Eyelid crease
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Module 03: Anterior Lamellae (Skin and underlying OOc muscle)
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2 Topics
1- Skin
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2- Upper lid Protractor / OOc Muscle
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Module 04: Middle Lamellae (Orbital septum, PAFP, ROOF, LA)
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5 Topics
3- Orbital Septum
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4- Retroseptal fat pads
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Pre Aponeurotic Fat Pad
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Nasal Fat Pad
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5- Retro OOc Fat Pad (ROOF) / Preseptal Fat / Brow Fat
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Module 05: Posterior Lamellae (Tarsal plate, Eyelid retractor muscles, Conjunctiva)
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3 Topics
6- Tarsal Plate (skeleton of the eyelids)
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7- Upper Lid Retractors
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Levator palpebrae muscle & Levator aponeurosis
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Module 06: Müller’s Muscle
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14 Topics
Müller’s Muscle
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8- Conjunctiva
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Lateral Retinaculum (tarsal strap)
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Lateral Retinaculum
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Motor Nerves
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Sensory Nerves
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Arterial Blood Supply
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The branches of arterial vascular arcades
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NOTA BENE
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Orbital Vein
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Lymphatic Drainage
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Lacrimal Glands
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Lacrimal System
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Lacrimal Gland Prolapse
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Module 07: Aesthetic Evaluation
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5 Topics
Introduction
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Clinical Evaluation Steps
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Dermatochalasis
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Consultant Session
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Goals Of Upper Eyelid Blepharoplasty
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Module 08: Brow Evaluation
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10 Topics
Eyebrow Position
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Brow Asymmetry
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Diagnosis of Brow ptosis
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Four finger lift test
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Treatment plan in eyelid pseudoptosis due to brow ptosis
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Direct brow lift
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Surgical Technique
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Danger zone in Direct brow lift
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Eyelid Ptosis
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True ptosis Usually it is less than or equal to 2.5 mm
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Module 09: Eye-Lid Evaluation
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20 Topics
1- Skin laxity test
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2- Palpebral fissure height (PFH)
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3- Marginal Reflex Distance (MRD1)
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4- Levator action measurements
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Stigmata of Graves’ ophthalmopathy
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Hering’s test
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5- Lagophtalmos
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6- Bell’s test
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7- Phenylephrine test
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8- Fatigue test
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9- ICE test
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10- Marginal crease distance (MCD)
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11- Examination fat pad herniation (retropulsion)
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Lateral Hooding
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Lacrimal Gland Prolapse (Supine test)
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12- A-Frame Deformity (Hollow Superior Sulcus)
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13- Eyelash Ptosis
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14- Photo Documentation
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Contraindication
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OVER VIEW CHART
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Module 10: Surgical Technique (Caucasian Eye Blepharoplasty)
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4 Topics
Introduction
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Pretarsal Show Masurement
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Quantifying the amount of pretarsal showing
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Importance of pretarsal show
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Final Quiz
Blepharoplasty Quiz
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