Levine
  • Mark R. Levine, MD
  • Mark R. Levine, MD, focuses his blog on how oculoplastic surgery can be beneficial to the comprehensive ophthalmologist to diversify his or her practice and to create an interest in this dynamic subspecialty.

Friday, June 8, 2012

Types of implants and practical choices in enucleation and evisceration surgery

Mark R. Levine, MD

There are three types of orbital implants in enucleation surgery. 1. Buried nonintegrated, in which a spherical implant is placed through a rent and posterior Tenon’s capsule into the muscle cone. 2. Quasi-integrated (Iowa implant), in which the muscles are placed between implant mounts that then, after closure, interdigitate with depressions in the prosthesis. 3. Exposed integrated, in which part of the orbital plant is buried and part is externally exposed and directly connected to a pro...

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Monday, March 5, 2012

Involutional ectropion for the comprehensive ophthalmologist

Mark R. Levine, MD

Involutional lower eyelid ectropion occurs with aging, consisting of laxity of the medial and lateral tendons and atrophy and laxity of the orbicularis muscle. This may start medially with medial canthal laxity, resulting in medial ectropion, punctal eversion and stenosis. Predominant lateral canthal laxity results in medial canthal migration and lateral ectropion. A complete eversion of the entire lid margin is the result of medial and lateral canthal tendon laxity with atrophy of the orbicularis muscle.

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Friday, February 24, 2012

Treatment of dry eyes

Mark R. Levine, MD

Once a diagnosis of dry eyes is made, the treatment focus should be not just volume deficiency but also the evaporative state. That is to say, the quality of the meibomian glands, be it increased turbidity to outright cottage cheese appearance, is paramount to a successful outcome. More than 50% of the time, there is a combination of both. Therefore, recognize and treat both.

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Wednesday, February 1, 2012

Don't give up on epiphora

Mark R. Levine, MD

In busy comprehensive ophthalmology practices, the tearing patient may be problematic and potentially time-consuming, leading the ophthalmologist to think that seeing the patient will only lead to a referral for a dacryocystorhinostomy, so why bother?

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Tuesday, December 13, 2011

Residents need to be better prepared for surgery

Mark R. Levine, MD

I have always been an optimist and have always loved ophthalmology. How fortunate we are to be stimulated and challenged daily in patient care, diagnosing and treating complex problems medically and surgically to achieve the goal of a healthy patient.
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