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Ric Caesar
Приєднався 22 вер 2006
Stripey Arnold gets some love.
In these darkened times, it is good to pause and revel in the joy of a happy cat. Nothing happens. Stripey Arnold gets stroked. A lot.
Переглядів: 3 777
Відео
Basic Tutorials - The Blood Supply to the Eyelids
Переглядів 11 тис.3 роки тому
A basic tutorial of the blood supply to the eyelids from Mr Richard Caesar and oculoplastics.info
EntropionTutorial - A Practical Approach
Переглядів 58 тис.3 роки тому
A basic tutorial on a practical approach to entropion from Mr Richard Caesar and oculoplastics.info
Laissez-Faire Tutorial
Переглядів 8 тис.4 роки тому
Step by step description of how to choose laissez-faire as a reconstructive technique from Mr Richard Caesar and www.oculoplastics.info
Tutorial - Marking the Upper Lid Blepharoplasty
Переглядів 329 тис.4 роки тому
Step by step description of how to mark the skin prior to performing an upper lid blepharoplasty from Mr Richard Caesar and www.oculoplastics.info
Informed Consent for Oculoplastic Surgery
Переглядів 3,4 тис.4 роки тому
A summary of standard risks for oculoplastic surgery from Mr Richard Caesar and oculoplastics.info
Entropion Repair with Modified LTS and Everting Sutures
Переглядів 62 тис.4 роки тому
Step by step description of how to perform an entropion repair with a buried LTS and simple buried everting sutures by Mr Richard Caesar and www.oculoplastics.info
Sebaceous Cyst Excision
Переглядів 200 тис.4 роки тому
Step by step description of how to completely excise a sebaceous cyst by Mr Richard Caesar from oculoplastics.info
Ptosis Tutorial - A Practical Approach
Переглядів 28 тис.4 роки тому
A Tutorial on a practical approach to Ptosis from Mr Richard Caesar and www.oculoplastics.info
Lower Eyelid Ectropion - A Practical Approach
Переглядів 53 тис.4 роки тому
A tutorial on lower eyelid ectropion from Richard Caesar at www.oculoplastics.info
Dry Eye Explained. Why does my eye water if I have Dry Eye?
Переглядів 4,3 тис.4 роки тому
An explanation of dry eye and Meibomian Gland Dysfunction from Mr Richard Caesar and oculoplastics.info
Upper lid primary repair post trauma.
Переглядів 31 тис.7 років тому
Step by step description of how to repair an upper eyelid following trauma from a dog bite. Video from oculoplastics.info
Combined Approach to Medial Ectropion
Переглядів 72 тис.8 років тому
Step by step description of how to approach medial ectropion from oculoplastics.info
assistedeyedrops
Переглядів 1,6 тис.8 років тому
Step by step description of how to insert eyedrops from www.myeyedrops.info
Sutured Endonasal DCR by Dr Charles Su
Переглядів 3,1 тис.10 років тому
Sutured Endonasal DCR by Dr Charles Su
Why can't look
Genial
cut was too big and unnecessary, sure it made it easier for u tho
Doctor, you should secure eyeball. Even cover it with a plaster.
Thanks a lot.. you don’t know what it means for us the resident to see videos with excellent quality of work as well as outstanding demonstration.. step by step. Just wanted to say your residents and fellows are lucky.
thank you so much Dr Caesar
Thanks pro❤️🙏
Gorgeous green eyes 👀!!
Greatly enjoyed your video! Thank you
Thank you! 👏🏻👏🏻👏🏻
Dr Ric you continued from simple suture to subcuticulare ?
Yup. Knot, under the skin, knot :). 8.0 vicryl will vanish either way, but looks nice. Best wishes. Ric
Где продолжения ( окончания) ?
mesure twice, cut once. great video sir.
Beautiful Excellent teacher
Meticulous Work
I have a sebaceous cyst I saw a Dr. The guy wants to put me to sleep in hospital remove it from inside my mouth. All videos I see it's done in office local anesthetic on outer cheek. I need to see another Dr.
Hello Doctor Ric Caeser, What is the best surgery for distichiasis that involves the whole length of the lid margin? Thank you for teaching us 😊
Hi Zomorrorod, great question. Distichiasis is very difficult to treat. In the upper lid a full tarsal rotation can be effective, but often regresses even when done dramatically. In the lower lid I've excised and advanced the posterior lamella but again with regression. Electrolysis is an ongoing game but has a place. Bandage contact lens and skilled self epilation with a magnifying mirror can be useful but is lifelong and dull for the patient. The problem is that when you have metaplastic change in the meibomian glands such that they produce lashes removing or destroying the glands still results in severe oil deficiency. I don't have any universal solution but try to take into account where the patient is willing to compromise. If you find a brilliant technique please let me know! Best wishes Ric
@@riccaesar Thanks so much Dr Ric Caeser, What about excision of a strip of the marginal tarsus to remove the distichiatic lashes then suture mucous membrane graft? Will postoperative entropion or lid deformity be an issue? The other option is splitting the anterior and posterior lamellae with applying cryotherapy? I have a case with lid margin keratinization and metaplastic lashes, very large number of distichiatic lashes.
@@zomorrorod7 Hi. Both techniques are worth trying but both can be associated with subsequent cicatricial entropion. Lid split and cryo is probably the safer option to try first. Best wishes Ric
خانم دکتر دستتون طلا
Este cirujano es una eminencia
Since you're airing this on UA-cam, I assume you want views from more than just Doctors learning how this surgery is done. For the simple people here on YT, please add a before and after picture of the subject. That is what most of us are here for. Thank you!
What’s the point of performing a canthal suspension alone? This patient clearly requires lower lid blepharoplasty.
Hi Matt. Canthal suspension alone is indeed limited it its power. It's usually used as an adjunct to lower lid blepharoplasty or to support the lid after other procedures that may generate an ectropic pull. It has a place in functional epiphora, with patent lacrimal drainage but mild lid laxity, but even then can lack adequate power. Best wishes Ric
Thanks for sharing
A work of art!
Do you recommend serum tears?
Hi, my patients' favourites are the hyaluronic acid based tears such as Hyloforte and Thealoz Duo. I've little experience with serum tears. Apologies. Ric
Hello sir, is mandatory to use the dilator? Which size you recommend?
Hi Lucas. It is mandatory to stretch the punctum large enough to hold the posterior ampulla with the forceps. How you stretch it is up to you :). Sometimes I don't have a dilator so then use the vannas scissors to carefully stretch it open. If really closed I sometimes use a green needle. So long as the end result is a removed posterior ampulla and revealed canaliculus you have a 90% chance of success. Best wishes Ric
I hated watching every single second of this but my Canaliculitis isn’t going away despite antibiotic drops and at this point I just want this doctor to scoop my whole eye out.
excellenet clean surgery
she should of just left it as it is there was nothing wrong with her cheeks now she has a bump on her cheeks
Pra que essa cirurgia?
Спасибо большое, доктор Кайзер! Огромная благодарность за такие учебные видео❤
Very nice demonstration. Have a few questions to ask please. Do you place the 8 0 vicryl sutures through the canalicular wall or through the soft tissue around the cut ends of the canaliculus? Can the mini monoka stent be removed in clinic? Has it ever got stuck in the canaliculus? Thank you so much. Mark.
Hi, I place the sutures adjacent to the canalicular wall in the soft tissue. Mini Monaka easy and painless to remove in clinic. I would have answered that I've never seen one stuck in the canaliculus, but then last week, investigating a patient with epiphora, I found one half way down the canaliculus, causing a blockage. Never say never. Best wishes. Ric
Brilliant video , absolutely loved it
👏👏👏
Thank you for sharing the thought process dr.
Isn’t this the danger zone area
Español videos
Idioma espsñol
Благодарю, доктор Кайзер! Здорово!
Will the internal thread always remain under the skin?
Hi - yes. Sometimes it gets infected and has to be removed, and sometimes it needs to be replaced if it becomes less effective with time, but it is made out of silicone and doesn't dissolve. Best wishes Ric
Thank you Rick. Always such a calm narrating voice.
Why am i watching this at 2am ?
Good job i saw the results 👍
AMAZING 👍🙏
Thanks a lot sir
Do you stay subcutaneous all along the dissection ?
Steady Hands!
Thanks you help me alot how I will share you the pre and post surgery after I use your vedio amazing 😅😮
Amazing , are you hitting the bone with the needle ?
Very neatly done. Thanks a lot for sharing this invaluable instructive vid. Did you mean the bandage is taken off one week later or the stitches?? and does it require frequent dressing change or as I asked will it be taken off one week later?
Hi Ibrahim. The bandage and Frost suture can be removed after 3 to 5 days. The other sutures are removed at a week. Best wishes. Ric
Thanks a lot, sir.@@riccaesar
Very nice technique and a nice visual outcome! I have just wondered if a supraorbital block instead of local infiltration could provide the same benefit of less pain after surgery, just with less tissue bloating? Or is there a contraindication against a block like that? Again, thank you for the video!
Hi Neezieone. Nothing wrong with a supraorbital block. The reason we typically choose to infiltrate is to gain the benefit of the adrenaline for haemostasis intra-op. Best wishes. Ric