Post-Test

Post-test

1. In lid crease procedures:

   • high anchoring with permanent sutures, as in supratarsal fixation, is always preferred for permanent results

   • one can expect buried sutures (used in non-incisional methods) which encircles the levator aponeurosis and orbicularis to be permanently eff ective.

   • Non-incisional method is best used for full eyelids because the stitches are well protected.

   • None of the above is true.

2. Asian tarsal plate usually has a vertical dimension of:

   • 6–8 mm

   • 8–10mm

   • 10–11 mm

   • greater than 12mm

3. What primarily forms the sulcus of medial tear trough deformity?

   • Orbital retaining ligament

   • Orbicularis Oculi attachment to malar bone

   • Pseudoherniation of fat

   • Malar fat pad

4. What structure separates the medial and lateral fat pads?

   • Inferior oblique

   • Superior oblique

   • Horners muscle

   • Arcuate expansion of Lockwoods ligament

5. The most common presenting symptoms of an orbital hemorrhage is

   • Pain and pressure

   • Proptosis

   • Lid edema

   • Extra ocular motility disturbance

6. A patient presents wishing to address periorbital aging changes. Examination reveals appropriate brow height, moderate upper and lower eyelid dermatochalasis, pseudoherniation of fat, moderate lower lid laxity, and a negative vector. Following upper and lower blepharoplasty, this patient is at increased risk of?

   • Blurred vision

   • Vertical strabismus

   • Long-term dry eyes

   • Decreased blink reflex

7. Three weeks following upper and lower eyelid blepharoplasty a patient complains of persistent ocular discomfort, conjunctival injection and foreign body sensation. Examination reveals moderate chemosis. Appropriate management would include the use of

   • Topical antibiotics

   • Cyclosporine A (Restasis^®)

   • Punctual plug

   • Tarsorraphy

8. Blepharoptosis of 2mm, with dilation lag of the ipsilateral pupil, is most likely caused by which of the following?

   • Myasthenia gravis

   • congenital ptosis

   • Horner's syndrome

   • Third cranial nerve palsy

9. Which of the following is not a potential complications of blepharoptosis repair:

   • Peaked eyelid contour

   • entropion

   • contralateral ptosis

   • none of the above

10. Which of the following best addresses the tear trough deformity?

    • Excise preseptal fat to the vertical plane of the orbital rim

    • CO2 laser to the lower lid

    • Fat transposition

    • Skin pinch