Evaluation of the Tearing Patient

Blog written by: Evan H. Black, MD, FACS In a previous blog we discussed the relationship between tearing and dry eye. Based on some questions and comments, I thought it would be a good idea to take things back a step and talk about the general evaluation of the tearing patient. Complaints of tearing problems… Read More »

Tearing and Dry Eye

Every ophthalmologist deals with patient complaints of tearing and dry eye. In our ophthalmic plastic surgery practice, consultations for tearing problems are common, as well. Though tearing and dry eye seem like converse problems, aqueous tear insufficiency and/or meibomian gland dysfunction are common causes of tearing. This is felt to be due to the two theoretical… Read More »


Recent advances in endoscopic and fiberoptic technology have led to the development of innovative, minimally invasive approaches for lacrimal surgery.  Lacrimal endoscopy, endocanalicular drilling, trephination, electrocauterization and endocanalicular laser dacryocystorhinostomy (DCR) are novel techniques being used to treat nasolacrimal duct obstruction.   In the endocanalicular laser-assisted DCR, a laser fiber optic probe is inserted in… Read More »

The Deflating Face

We’ve all heard about Botox® and collagen type filler products for years. Public interest in these types of anti-aging treatments is at an all time high. What do these substances actually do, and how can they be used to treat problems associated with the aging face? Facial deflation has become the new buzz word in… Read More »

Eyelid Lifts and Forehead Lifts: Functional vs. Cosmetic Plastic Surgery

As eye and facial plastic surgeons, one of the most common questions patients ask us is “is it covered by insurance?”. Well, the answer isn’t always a simple one. Plastic surgery is a field that involves functional, reconstructive, and aesthetic surgery. Patients often confuse the term “plastic surgery” with “cosmetic surgery” and as physicians we know… Read More »

Skin Cancer of the Eyelid

Distinguishing a potentially malignant eyelid lesion can be particularly difficult, considering the eyelid’s propensity for developing both benign and cancerous lesions. However, like in other areas of the body, the thin, sun exposed areas of the eyelid can exhibit warnings signs that should indicate a potential problem. The “ABCD” method is a helpful tool to… Read More »

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