PURPOSE To compare a transconjunctival single-plane sclerocorneal incision with 2 tiny conjunctival cuts at both ends and a clear corneal incision (CCI) in cataract surgery. SETTING Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. METHODS Patients having routine cataract surgery were randomly divided into 2 groups based on incision type; th...

PURPOSE This study quantifies the incision location in transconjunctival lower eyelid blepharoplasty to optimize postspetal (direct) access to the eyelid/orbital fat. METHODS A retrospective chart review of patients undergoing transconjunctival blepharoplasty by one surgeon (GGM) from January 2013 to January 2014 was performed. Simultaneous globe retropulsion and lower eyelid inferior displac...

The author has refined his lower blepharoplasty technique with the goal of eliminating scleral show and residual skin while maintaining normal eyelid posture. His technique involves fat removal and/or modification through a transconjunctival approach, aligning the lower eyelid globe and canthus with a stitch canthopexy, and measured excision of redundant skin with mastery of the “pinch” techniq...

PURPOSE To describe surgical outcomes for transconjunctival anterior orbitotomy for intraconal cavernous hemangiomas. METHODS The medical records of 9 consecutive patients with intraconal cavernous hemangiomas who underwent surgical removal by transconjunctival anterior orbitotomy were retrospectively reviewed. The conjunctiva was incised and retracted with a traction suture. For large tumors...

Transconjunctival blepharoplasty is a commonly performed procedure. Corneal protection, avoidance of damage to the inferior oblique muscle of the eye, avoidance of hemorrhage from the fat pads, and adequate fat removal are important considerations when transconjunctival blepharoplasty is performed. The described surgical technique provides consistently satisfactory results and avoids the use of...