Toric Lecture

TORIC Supplementary Notes






Mnemonic that corroborates informed consent in oculoplastic surgery.  Ing EB. Ophthal Plast Reconstr Surg. 2014 Jan-Feb;30(1):83



1. Which of the following is NOT usually seen in a patient with true proptosis?
a) Lid retraction
b) Variable ptosis
c) Hyperopic shift in refraction
d) Chorioretinal striae
2.  With regards to useful elements in the work-up of ptosis, select the BEST answer.
a) documentation of anisocoria, and alternate cover test (to exclude hypotropia)
b) variability in the lid height
c)  the presence or absence of corneal anesthesia
d)  lid eversion
e)  all of the above are useful
3. What is the most common cause of ectropion and entropion in North America?
a)  involutional upper lid
b)  cicatricial
c) paralytic / spastic / paralytic
d) mechanical (mass lesion)
e) involutional lower lid
4.  In a patient with dacryocystitis and an inflamed medial canthal abscess, which of the following is the LEAST appropriate?
a)  ask about a history of nasal or sinus trauma / surgery 
b)  the medial canthal mass is usually below the medial canthal tendon
c)  if the abscess is prominent and “pointing”, incision, drainage and stent can be performed
d)  nasolacrimal irrigation or pushing on the nasolacrimal sac
1) b Variable ptosis is associated with myasthenia 
2) e Patients with corneal anesthesia have higher risk of corneal compromise post ptosis repair
3) e
4) d Irrigating or massaging an inflamed medial canthal abscess will not add information, and will only cause pain