Why study at TECH?

TECH has used for the composition of this Postgraduate diploma the most updated information on Oculoplastic surgery, so that you can keep up to date with all its novelties in a 100% online way"

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Whether at a medical or surgical level, Oculoplasty has become one of the most demanded interventions within Ophthalmology. The possibilities that arise in this branch and in terms of the management of patients with conditions in the periocular facial structures, as well as the highly promising results that have been obtained over the years, make it one of the most important subspecialties in the medical sector. It includes a wide variety of methods, from the treatment of ocular tumors or entropion and extropion disorders, to aesthetic intervention with the correction of bags or eyelid drooping.

The catalog of medical and surgical procedures that it handles, added to the great advances that have been made in recent decades, is what has led TECH to develop this Postgraduate diploma in Tear Ducts and Anophthalmic Cavity Management. This is a program designed by experts in Ophthalmology with which the specialist will be able to get up to date, in a 100% online way, on all the news related to the anatomy and physiology of this part of the human body, as well as the latest medical advances that have been made in terms of improving the diagnosis and treatment of possible conditions that may affect the periocular region.

For this purpose, it will have 450 hours of theoretical, practical and additional material presented in different formats, so that the updating can be done in a dynamic way and with a personalized deepening. In addition, all the content will be available from the beginning of the academic course, so that the graduate can organize himself without any problem, and can be downloaded to any device with internet connection (either PC, tablet or mobile) for offline consultation whenever needed, even after completing the Postgraduate diploma.

A degree that delves into the latest developments related to the innervation and irrigation of the periocular area through a dynamic and comprehensive syllabus"

This Postgraduate diploma in Tear Ducts and Anophthalmic Cavity Management contains the most complete and up-to-date scientific program on the market. The most important features include:

  • The development of case studies presented by Ophthalmology experts
  • The graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
  • Practical exercises where the self-assessment process can be carried out to improve learning
  • Its special emphasis on innovative methodologies
  • Theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments
  • Content that is accessible from any fixed or portable device with an Internet connection

You will have hundreds of hours of the best material, so that you can get the most out of this academic experience, with a personalized schedule and without face-to-face classes"

The program’s teaching staff includes professionals from the sector who contribute their work experience to this educational program, as well as renowned specialists from leading societies and prestigious universities.

Its multimedia content, developed with the latest educational technology, will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide an immersive education programmed to learn in real situations.

The design of this program focuses on Problem-Based Learning, by means of which the professional must try to solve the different professional practice situations that are presented throughout the academic course. For this purpose, the student will be assisted by an innovative interactive video system created by renowned experts.

In less than 450 hours you will have gained detailed knowledge of the latest developments related to the lacrimal pathways and the management of the anophthalmic cavity"

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It is a degree designed by experts in Ophthalmology who know in detail the needs of professionals in this field"

Syllabus

Elaborating this Postgraduate diploma has been a real challenge for TECH and its team of specialists, who, despite being versed in Ophthalmology, have had to carry out an exhaustive research task in order to create a complete, updated program adapted to the pedagogical criteria that define and differentiate this university. In addition, with an emphasis on the multidisciplinary factor that characterizes all the qualifications of this center, they have also included in their content hours of additional material in audiovisual format, research articles, dynamic summaries and complementary readings so that the graduate can take full advantage of this academic experience and delve into the most relevant aspects of the syllabus for their professional performance.

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A degree with which you can delve into the latest developments in the preoperative management of the anticoagulated or antiplatelet patient from the comfort of your home, or at any free time in your practice"

Module 1. Aspects in Oculoplastic Surgery

1.1. Periocular and Orbital Anatomy

1.1.1. Eyebrows
1.1.2. Eyelids
1.1.3. Orbital Bones
1.1.4. Muscle
1.1.5. Canthal Tendons
1.1.6. Septum and Preaponeurotic Fat
1.1.7. Conjunctiva

1.2. Anatomy of the Lacrimal Duct, Nasal Cavity and Paranasal Sinuses

1.2.1. Lacrimal System
1.2.2. Nasal Anatomy
1.2.3. Paranasal Sinuses

1.3. Facial Anatomy

1.3.1. Skin and Tissue Subcutaneous
1.3.2. Musculature of Facial Expression
1.3.3. Superficial Musculoaponeurotic System (SMAS) and Associated Fat Packages
1.3.4. Galea
1.3.5. Temporoparietal Fascia
1.3.6. Suspensory Ligaments

1.4. Innervation of the Periocular Area

1.4.1. Sensory Innervation

1.4.1.1. Ophthalmic Branch of the Trigeminal Nerve (V1)
1.4.1.2. Maxillary Branch of the Trigeminal Nerve (V2)

1.4.2. Innervation of the Facial Musculature

1.4.2.1 Facial Nerve

1.4.3. Innervation of the Extraocular Muscles

1.4.3.1. Innervation of the Extraocular Muscles
1.4.3.2. Fourth Cranial Nerve (IV)
1.4.3.2. Sixth Cranial Nerve (VI)

1.4.4. Autonomous Innervation

1.4.4.1. Sympathetic
1.4.4.2. Parasympathetic

1.5. Irrigation of the Periocular Area

1.5.1. Arterial Irrigation

1.5.1.1. External Carotid Artery

1.5.1.1.1. Facial Artery
1.5.1.1.2. Internal Maxillary Artery
1.5.1.1.3. Superficial Temporal Artery

1.5.1.2. Internal Carotid Artery
1.5.1.3. Anastomosis Between the Internal and External Carotid Arteries

1.5.2. Venous Drainage
1.5.3. Lymphatic Drainage

1.6. Surgical instruments

1.6.1. Scalpel Blades and other Cutting Instruments
1.6.2. Scissors
1.6.3. Tweezers
1.6.4. Separators/Retractors
1.6.5. Needle Holders
1.6.6. Sutures

1.7. Skin Marking and Local Anesthesia

1.7.1. Markers
1.7.2. Incisions in Natural Grooves
1.7.3. Incisions Adjacent to Anatomical Structures
1.7.4. Main Drugs Used in Local Infiltration

1.7.4.1. Lidocaine
1.7.4.2. Bupivacaine
1.7.4.3. Sodium Bicarbonate

1.7.5. Infiltration/Blocking Techniques

1.8. Preoperative Management of the Anticoagulated/Antiaggregate Patient
1.9. Hemostasis and Aspiration

1.9.1. Hemostasis

1.9.1.1. Tamponade
1.9.1.2. Cauterization
1.9.1.3. Bone Waxing
1.9.1.4. Drainages
1.9.1.5. Aspiration

1.10. Imaging Tests

Module 2. Tear Ducts

2.1. Lacrimal Pathways

2.1.1. Lacrimal Duct

2.1.1.1. Tear Drainage System
2.1.1.2. Lacrimal Points
2.1.1.3. Canalicul
2.1.1.4. Common Canaliculus
2.1.1.5. Lacrimal Sac
2.1.1.6. Nasolacrimal Duct

2.1.2. Physiology of the Lacrimal Duct

2.1.2.1. Tear Drainage System
2.1.2.2. Lacrimal Points
2.1.2.3. Canalicul
2.1.2.4. Common Canaliculus
2.1.2.5. Lacrimal Sac

2.2. Exploration of the Lacrimal Ducts

2.2.1. Exploration in Consultation: Tear Duct Patency Tests

2.2.1.1. Irrigation or Syringing of the Lacrimal Duct
2.2.1.2. Flourescein Disappearance Test
2.2.1.3. Jones Staining Test
2.2.1.4. Primary
2.2.1.5. Secondary

2.2.2. Complementary Tests

2.2.2.1. Dacryocystography
2.2.2.2. Dacryotac
2.2.2.3. Dacryogammagraphy
2.2.2.4. Endoscopic Nasal Diagnosis

2.3. Diagnosis and Treatment of Lacrimal Punctal Obstruction

2.3.1. Clinical Manifestations
2.3.2. Causes
2.3.3. Diagnosis of Lacrimal Punctal Obstruction
2.3.4. Differential Diagnosis
2.3.5. Techniques of Punctaplasty
2.3.6. Postoperative Period and Complications of Dotoplasty

2.4. Diagnosis and Treatment of Lower Lacrimal Duct Obstruction

2.4.1. Clinical Manifestations
2.4.2. Causes
2.4.3. Diagnosis of Lower Lacrimal Duct Obstruction
2.4.4. Treatment of Lower Lacrimal Duct Obstruction

2.4.4.1. Dacryocystorhinostomy (DCR)

2.4.4.1.1. Endomonasal Dacryocystorhinostomy

2.4.4.1.1.1. History and Evolution of the Endonasal DCR
2.4.4.1.1.2. Techniques of Endonasal Dacryocystorhinostomy
2.4.4.1.1.3. Selective Endonasal RCD
2.4.4.1.1.4. Endonasal Laser RCD
2.4.4.1.1.5. Postoperative Period for Endonasal RCD
2.4.4.1.1.6. Complications of Endonasal RCD

2.4.4.2 External Dacryocystorhinostomy

2.4.4.2.1. History and Evolution of External DCR
2.4.4.2.2. External Dacryocystorhinostomy Techniques
2.4.4.2.3. Postoperative Period of External DCR
2.4.4.2.4. Complications of External DCR

2.4.4.3 Dacryocystectomy

2.4.4.3.1. Indications
2.4.4.3.2. Surgical Technique
2.4.4.3.3. Post-Operative
2.4.4.3.4. Complications

2.5. Diagnosis and Treatment of Canalicular Obstruction

2.5.1. Clinical Manifestations
2.5.2. Causes
2.5.3. Exploration and Diagnosis of Canalicular Obstruction
2.5.4. Indications for Conjunctivodacryocryocys Torhinostomy
2.5.5. Techniques of conjunctivodacryocryocys Torhinostomy
2.5.6. Pyrex Tubes
2.5.7. Metereaux Tubes
2.5.8. Complications of Conjunctivodacryocryocys Torhinostomy

2.6. Controversy Between Endonasal DCR and External DCR

2.6.1. Medicine Based on Scientific Evidence
2.6.2. Advantages and Disadvantages of Endonasal RCD
2.6.3. Advantages and Disadvantages of External RCD
2.6.4. Comparison of Endonasal RCD vs. External RCD
2.6.5. Conclusions

2.7. Infectious and Inflammatory Pathology of the Lacrimal Duct

2.7.1. Canaliculitis

2.7.1.1. Clinical Manifestations
2.7.1.2. Causes
2.7.1.3. Diagnosis of Canaliculitis
2.7.1.4. Treatment of Canaliculitis

2.7.2. Acute Dacryocystitis (ACD)

2.7.2.1. Clinical Manifestations of ACD
2.7.2.2. ACD Causes
2.7.2.3. ACD Diagnosis
2.7.2.4. DCA Treatment

2.7.3. Lacrimal Punctal Inflammatory Disease (LIPD)

2.7.3.1. EIPL Diagnosis
2.7.3.2. EIPL Treatment

2.8. Lacrimal Sac Tumors

2.8.1. Clinical Manifestations
2.8.2. Diagnostic
2.8.3. Histological Variants
2.8.4. Differential Diagnosis
2.8.5. Treatment
2.8.6. Prognosis

2.9. Functional Epiphora

2.9.1. Functional Epiphora
2.9.2. Epiphora Causes
2.9.3. Functional Epiphora Diagnosis
2.9.4. Anamnesis and Exploration
2.9.5. Diagnostic Tests

2.9.5.1. Lacrimal Duct Irrigation

2.9.5.1.1. Dacryocystography (DCG)
2.9.5.1.2. Dacryotac (DCT)
2.9.5.1.3. Dacryocystogammagraphy (DSG)

2.9.6. Functional Epiphora Treatment

2.9.6.1. Lower Eyelid Shortening Surgeries
2.9.6.2. Intubation
2.9.6.3. Dacryocystorhinostomy

2.9.7. Therapeutic Protocol

2.10. Lacrimal Duct Congenital Pathology Lacrimal Duct

2.10.1. Lacrimal Duct Congenital Malformations

2.10.1.1. Embryology
2.10.1.2. Lacrimal Point and Canaliculi
2.10.1.3. Dacryocystocele
2.10.1.4. Lacrimal Fistula

2.10.2. Associations of Systemic Diseases and Syndromes
2.10.3. Congenital Obstruction of the Lacrimonasal Duct

2.10.3.1. Clinical Manifestations

2.10.4. Diagnostic
2.10.5. Treatment

2.10.5.1. Conservative Medical Treatment
2.10.5.2. Probing
2.10.5.3. Intubation
2.10.5.4. Catheter-Balloon Dilatation
2.10.5.5. Dacryocystorhinostomy
2.10.5.6. Treatment Protocol

Module 3. Anophthalmic Cavity

3.1. Monophthalmic Patient

3.1.1. Causes of Loss of the Eyeball. Painful Blind Eye. Ptisis
3.1.2. Visual Phenomenons Secondary to the Loss of the Eyeball

3.1.2.1. Monocular and Binocular Vision
3.1.2.2. Loss of VC and Stereopsis. The Phantom Eye

3.1.3. Quality of Life, Psychological and Psychopathological Aspects in the Monophthalmic Patient

3.2. Evisceration of the Eyeball

3.2.1. Indications
3.2.2. Surgical Technique and Postoperative Management
3.2.3. Complications

3.3. Enucleation of the Eyeball

3.3.1. Indications
3.3.2. Surgical Technique and Postoperative Management
3.3.3. Complications

3.4. Orbital Exenteration

3.4.1. Indications
3.4.2. Surgical Technique and Postoperative Management
3.4.3. Complications

3.5. Synthetic Orbital Implants

3.5.1. Ideal Implant
3.5.2. Types of Material
3.5.3. Implant Size
3.5.4. Exposure and Extrusion

3.5.4.1. Introduction
3.5.4.2. Causes
3.5.4.3. Clinical and Management

3.6. Use of Autologous Material: Dermal Fat Graft

3.6.1. Indications
3.6.2. Surgical Technique and Postoperative Management
3.6.3. Complications
3.6.4. WHO vs. Synthetic Orbital Implant

3.7. Anophthalmic Syndrome

3.7.1. Treatment of Enophthalmos and Sinking of the PPS

3.7.1.1. Combined Technique
3.7.1.2. Lipostructure
3.7.1.3. Others: Rib Cartilage Grafting

3.7.2. Management of Ptosis in Ocular Prosthesis Carriers

3.8. Reconstruction of the Retracted Anophthalmic Orbit

3.8.1. Assessment
3.8.2. Surgical Treatment of the Retraction

3.9. Ocular prosthesis

3.9.1. Ocular Surface
3.9.2. Fitting and Fabrication
3.9.3. Removal and Fitting Maneuvers
3.9.4. Assessment of the Prosthesis and Inspection of the Cavity Medical Pathology and Treatment
3.9.5. Indications to the Patient
3.9.6. Research and Future

3.10. Anophthalmic Cavity in Pediatric Age

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Look no further. With this Program you will get up to date, in less than 6 months, on everything you need to consider yourself a Postgraduate diploma in Tear Ducts, their physiology and the diagnosis and treatment of their conditions"

Postgraduate Diploma in Tear Ducts and Anophthalmic Cavity Management

The Postgraduate Diploma in Tear Ducts and Anophthalmic Cavity Management is a Postgraduate Diploma program that responds to the needs of the ophthalmology sector and seeks to prepare professionals who can perform effectively in the field of ocular medicine. The aim of the study is to equip students with the skills, knowledge and competencies necessary to effectively address the care of patients with disorders and alterations in the lacrimal pathways and anophthalmic cavity. During the course of the programme, students will have the opportunity to delve into topics such as the anatomy and physiology of the lacrimal ducts, the identification of the most common pathologies affecting these structures, the diagnostic and therapeutic methods available, as well as the comprehensive care of patients who have undergone ocular reconstructive surgery. In addition, special attention will be paid to the management of the anophthalmic cavity, a topic of great importance in the management of patients with ocular loss. Participants will learn about available ocular prostheses and their placement, surgical considerations for the management of the anophthalmic cavity, as well as the comprehensive care and post-surgical follow-up of patients with this condition.

Specialise in TECH and nurture your resume

The UPostgraduate Diploma in Tear Ducts and Anophthalmic Cavity Management is aimed at graduates in medicine, ophthalmology, nursing and other healthcare professionals who wish to broaden their knowledge in this area. The methodology of the programme is theoretical, so students will not have to worry about travelling anywhere. Upon completion of the programme, students will be prepared to successfully face the challenges of the ophthalmology sector in relation to the management of patients with disorders and alterations in the lacrimal ducts and anophthalmic cavity. We are TECH, the best digital university in the world, enrol now!