TarSys Slideshow - Dr. Robert A. Weiss
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TarSys Slideshow - Dr. Robert A. Weiss

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Dr. Robert A. Weiss detailing TarSys.

Dr. Robert A. Weiss detailing TarSys.

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TarSys Slideshow - Dr. Robert A. Weiss Presentation Transcript

  • 1. Robert A. Weiss, M.D, F.A.C.S
    • Clinical Associate Professor University of Illinois at Chicago
    • Director, Oculofacial Plastic and Reconstructive Surgery, Ophthalmic Oncology and Orbital Disease Advocate Illinois Masonic Medical Center
    • Senior Partner Chicago Eye Institute
    Robert A. Weiss, MD, FACS
  • 2. Robert A. Weiss, M.D, F.A.C.S
    • Copyright by Robert A. Weiss, M.D. 2009. All rights reserved. This work, in whole and in each part, may not be reproduced and/or stored in any manner or with any device without the express written permission of the author.
    Robert A. Weiss, MD, FACS
  • 3. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  • 4. TarSys Eyelid Reconstruction
    • Bioengineered Eyelid Spacer Graft
    • Rehydrate in Sterile Saline 20 Minutes Before Use
    Robert A. Weiss, MD, FACS
  • 5. TarSys Eyelid Reconstruction
    • 10 mm x 40 mm
    Robert A. Weiss, MD, FACS
  • 6. TarSys Eyelid Reconstruction
    • Severe Cicatricial Left Lower Lid Retraction & Upper Lid Ptosis (s/p 6 Prior LL Reconstructive Procedures)
    • Note Left Lagophthalmos Secondary to LLL Retraction
    Robert A. Weiss, MD, FACS
  • 7. TarSys Eyelid Reconstruction
    • Standard Subciliary Approach
    Robert A. Weiss, MD, FACS
  • 8. TarSys Eyelid Reconstruction
    • Skin-Orbicularis Muscle Flap
    Robert A. Weiss, MD, FACS
  • 9. TarSys Eyelid Reconstruction
    • Inferior Boarder of Tarsus Delineated
    Robert A. Weiss, MD, FACS
  • 10. TarSys Eyelid Reconstruction
    • Elevate Septum - Lower Lid Retractors
    Robert A. Weiss, MD, FACS
  • 11. TarSys Eyelid Reconstruction
    • Removal of Previously Placed Spacer
    Robert A. Weiss, MD, FACS
  • 12. TarSys Eyelid Reconstruction
    • Lateral Tarsal Strip - Lateral Orbital Tubercle - Supra-Placed Above Tubercle
    Robert A. Weiss, MD, FACS
  • 13. TarSys Eyelid Reconstruction
    • TarSys Attached to Medial Deep Tissues - Medial Canthal Tendon
    Robert A. Weiss, MD, FACS
  • 14. TarSys Eyelid Reconstruction
    • TarSys Attached To Tarsus Above and Recessed Lower Eyelid Retractors Below
    Robert A. Weiss, MD, FACS
  • 15. TarSys Eyelid Reconstruction
    • TarSys Attached To Tarsus Above and Recessed Lower Eyelid Retractors Below
    Robert A. Weiss, MD, FACS
  • 16. TarSys Eyelid Reconstruction
    • Limited Mid-Face Lift or Adjacent Tissue Transfer or Full-Thickness Skin Graft if Outer Lamellar Vertical Soft Tissue Shortage
    Robert A. Weiss, MD, FACS
  • 17. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  • 18. TarSys Eyelid Reconstruction
    • Note Symmetry of Lower Lid Position Relative to Inferior Limbus
    Robert A. Weiss, MD, FACS
  • 19. TarSys Eyelid Reconstruction
    • Intra-Operative - Right Lower Lid Repair with TarSys Inner Lamellar Reconstruction and Mid-Facelift Outer Lamellar Reconstruction
    Robert A. Weiss, MD, FACS
  • 20. TarSys Eyelid Reconstruction
    • Bilateral Lower Lid Repair with TarSys Inner Lamellar Reconstruction and Mid-Facelift Outer Lamellar Reconstruction
    Robert A. Weiss, MD, FACS
  • 21. TarSys Eyelid Reconstruction
    • Left Lower Eyelid Retraction S/P Emergency Room Physician Primary Repair
    • S/P Secondary Repair with Lateral Tarsal Strip, TarSys Graft and Adjacent Tissue Transfer
    Robert A. Weiss, MD, FACS
  • 22. TarSys Eyelid Reconstruction
    • Eyelid Retraction Maxillary Hypoplasia and Prior Blepharoplasty with Secondary Mechanical and Inner Lamellar Cicatricial Lower
    • S/P Lateral Tarsal Strip with TarSys Graft and Limited Mid-Facelift
    Robert A. Weiss, MD, FACS
  • 23. TarSys Eyelid Reconstruction
    • Lagophthalomos Associated with Lower Eyelid RetractionMaxillary Hypoplasia and Prior Blepharoplasty
    • S/P Lateral Tarsal Strip with TarSys Graft and Limited Mid-Facelift
    Robert A. Weiss, MD, FACS
  • 24. TarSys Eyelid Reconstruction
    • Primary Highly Malignant Merkel Cell Tumor
    Robert A. Weiss, MD, FACS
  • 25. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Cut Edge of Orbicularis Muscle, (Aponeurosis Removed En Bloc with Neoplasm)
  • 26. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Whitnall’s Ligament Superior/Forniceal Conjunctiva Lacrimal Gland Cut Edge of Levator Just Above Aponeurosis Junction
  • 27. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Conunctiva Deep To Tarsys - Anchored on Anterior Surface of Graft Levator Muscle Anchored to Superior Edge of Tarsys
  • 28. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  • 29. TarSys Eyelid Reconstruction
    • Early Post-Op
    Robert A. Weiss, MD, FACS
  • 30. TARSYS Eyelid Reconstruction
    • Primary Highly Malignant Merkel Cell Tumor
    Robert A. Weiss, MD, FACS
  • 31. TarSys Eyelid Reconstruction
    • Wide Tumor Excision with Frozen Section Control & Full-Thickness Reconstruction Using TarSys Spacer Graft
    Robert A. Weiss, MD, FACS
  • 32. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  • 33. TarSys Eyelid Reconstruction
    • 4 Week Post-Op
    • Normal Functioning Right Upper Lid with Asymptomatic Quiet Anterior Segment
    • Left Upper Eyelid Ptosis Secondary to Hering’s Law
    Robert A. Weiss, MD, FACS
  • 34. TarSys Eyelid Reconstruction
    • 10 Week Post-Op at Peak of Acute Radiation Soft Tissue Injury
    Robert A. Weiss, MD, FACS
  • 35. TarSys Eyelid Reconstruction
    • 10 Weeks s/p TarSys Right Upper Lid Reconstruction with Secondary Electron Radiation Therapy
    Robert A. Weiss, MD, FACS