Richard D Lisman

New York Presbyterian Hospital, New York City, New York, United States

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Publications (18)27.21 Total impact

  • Plastic and Reconstructive Surgery 02/2012; 129(2):402e-404e. · 3.33 Impact Factor
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    ABSTRACT: The effectiveness of orbital decompression has been enhanced by the use of endoscopes in orbital decompressive surgery. In patients with severe proptosis and visual compromise, surgical intervention provides definitive therapy. Endoscopes have allowed for more complete removal of the bone posteriorly to the orbital apex under direct visualization, which has led to a decrease in morbidity. Two-wall decompression is now the minimum procedure that successfully achieves release of contents at the orbital apex. Whether the endoscope is used as an adjunct surgically or postoperatively to facilitate debridement, it has become an important tool in the armamentarium for the successful management of proptosis. The endoscopic view of posterior ethmoidal sinuses and the sphenoid sinuses enables the surgeon to successfully carry out a posterior decompression, and provides the opportunity to decompress the optic nerve if the need arises.
    Operative Techniques in Otolaryngology-Head and Neck Surgery 09/2011; 22(3):223–228.
  • Gary J Lelli, Richard D Lisman
    Plastic and Reconstructive Surgery 08/2011; 128(2):587. · 3.33 Impact Factor
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    ABSTRACT: The purpose of this study was to investigate the prevalence of a common canalicular entrance in the lacrimal sac and to investigate the anatomy of the canalicular/lacrimal sac junction with direct visualization using a novel cadaveric dissection technique. Preserved cadavers were dissected to allow direct visualization of the canalicular entrance(s) to the lumen of the lacrimal sac. The prevalence of a common canaliculus and the anatomical variations of the canalicular/lacrimal sac mucosal fold of tissue were recorded. One hundred twenty-four lacrimal systems (95 cadavers; 43 female, 52 male) were included in the study analysis. Overall, 123 lacrimal systems demonstrated a common canaliculus entering the lacrimal sac. Only one demonstrated 2 separate orifices (right orbit; male) in the sac (0.08%; 95% confidence interval, 0.1%-4.4%). Seventy-four lacrimal systems had some variation of a canalicular/lacrimal sac mucosal fold (59.7%). The remaining 50 (40.3%) had no visible canalicular/lacrimal sac mucosal fold. This study provides direct anatomical evidence that the prevalence of separate canalicular orifices in the lacrimal sac is lower than previously reported (<1%). Additionally, the presence of a valve-like structure at the canalicular/lacrimal sac junction is common. These observations can potentially play a role in evaluating and treating lacrimal system pathology.
    Ophthalmic plastic and reconstructive surgery 04/2011; 27(4):298-303. · 0.69 Impact Factor
  • Christopher I Zoumalan, Richard D Lisman
    Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 03/2011; 31(3):295-6.
  • Ophthalmic plastic and reconstructive surgery 01/2011; 27(3):225. · 0.69 Impact Factor
  • Plastic and Reconstructive Surgery 12/2010; 126(6):305e-307e. · 3.33 Impact Factor
  • Article: Reply.
    Plastic and Reconstructive Surgery 09/2010; 126(3):1113. · 3.33 Impact Factor
  • Gary J Lelli, Richard D Lisman
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    ABSTRACT: Postoperative complications of blepharoplasty range from cutaneous changes to vision-threatening emergencies. Some of these can be prevented with careful preoperative evaluation and surgical technique. When complications arise, their significance can be diminished by appropriate management. This article addresses blepharoplasty complications based on the typical postoperative timeframe when they are encountered. The authors conducted a review article of major blepharoplasty complications and their treatment. Complications within the first postoperative week include corneal abrasions and vision-threatening retrobulbar hemorrhage; the intermediate period (weeks 1 through 6) addresses upper and lower eyelid malpositions, strabismus, corneal exposure, and epiphora; and late complications (>6 weeks) include changes in eyelid height and contour along with asymmetries, scarring, and persistent edema. A thorough knowledge of potential complications of blepharoplasty surgery is necessary for the practicing aesthetic surgeon. Within this article, current concepts and relevant treatment strategies are reviewed with the use of the most recent and/or appropriate peer-reviewed literature available.
    Plastic and Reconstructive Surgery 03/2010; 125(3):1007-17. · 3.33 Impact Factor
  • Source
    Christopher I Zoumalan, Richard D Lisman
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    ABSTRACT: Treating unilateral ptosis can be challenging and a proper preoperative evaluation may help prevent unexpected outcomes on the contralateral lid. Preoperative evaluation should include testing for Hering's law, which remains useful in understanding the phenomenon of induced contralateral eyelid retraction in the context of ptosis. Approximately 10% to 20% of patients with unilateral ptosis have some degree of induced retraction on clinical evaluation in the contralateral lid. When there is a positive Hering's test on preoperative examination, the surgeon should consider a bilateral ptosis procedure. The surgical approach to unilateral ptosis depends on the severity of the ptosis and its etiology, and the surgeon should be aware of which procedure is most likely to provide the best outcome in selected instances.
    Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 01/2010; 30(3):320-8.
  • Caroline Rosenberg, Gary J Lelli, Richard D Lisman
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    ABSTRACT: To describe and evaluate an office-based technique to adjust the Fasanella-Servat procedure in the first postoperative week. This retrospective case series reviewed all consecutive eyelids undergoing the Fasanella-Servat procedure between July 1, 2006, and July 1, 2007, by a single surgeon (R.D.L.). Charts were reviewed to determine the frequency, timing, safety, and efficacy of postoperative adjustment. Postadjustment photographs were reviewed by a blinded ophthalmic plastic surgeon for eyelid contour, height, symmetry, overall cosmesis, and picture quality as excellent, satisfactory, or poor. The Fasanella-Servat procedure was performed on a total of 102 eyelids in 54 patients over the 12-month interval. Postoperative adjustments at the time of suture removal were performed to improve mild eyelid asymmetries for 22 eyelids (22%) in 19 patients. Postadjustment photographs, available for 17 patients, showed excellent eyelid contour (53%), height (88%), symmetry (82%), and cosmesis (65%). Satisfactory results were obtained in all remaining photographed eyelids. The Fasanella-Servat procedure should be viewed as an adjustable ptosis correction with the adjustment as a standard component of postoperative suture removal. This manipulation takes only a few moments with minimal to no patient discomfort. It allows for improvements in eyelid height and contour. This series demonstrates a procedure that is simple, highly successful, and safe.
    Ophthalmic plastic and reconstructive surgery 01/2009; 25(1):19-22. · 0.69 Impact Factor
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    ABSTRACT: A 40-year-old man presented with bradycardia, left eye pain, and intermittent nausea 1 day after blunt trauma to the left orbit. Imaging revealed a large orbital floor fracture with significant herniation of orbital contents but no obvious extraocualar muscle entrapment. Oculocardiac reflex was suspected, and the fracture was repaired surgically within 24 hours of presentation. His bradycardia resolved immediately postoperatively. This case is a unique presentation of the oculocardiac reflex in a large orbital floor fracture with significant herniation of orbital contents but without extraocualar muscle entrapment.
    Ophthalmic plastic and reconstructive surgery 01/2009; 25(6):496-8. · 0.69 Impact Factor
  • Norman C Charles, Richard D Lisman, Gary J Lelli
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    ABSTRACT: A patient noting a slowly enlarging bump at the orbital rim underwent surgical excision of the lesion. Pathologic examination showed a benign fibroma, a lesion that to the authors' knowledge has never been previously reported in this location.
    Ophthalmic Surgery Lasers and Imaging 01/2008; 39(6):517-8. · 1.46 Impact Factor
  • Archives of Ophthalmology 04/2006; 124(3):414-6. · 3.83 Impact Factor
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    ABSTRACT: A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blepharoplasty that resulted in permanent visual loss. After performing a left lateral canthotomy and cantholysis, intraocular pressure returned to normal and vision improved from no light perception to 20/40; however, the patient did have permanent visual field loss. To our knowledge, this is the longest period of time after blepharoplasty that a retrobulbar hemorrhage occurred. Ophthalmologists should have a heightened level of suspicion 1 to 2 weeks after surgery.
    Ophthalmic Plastic and Reconstructive Surgery 01/2006; 22(5):388-9. · 0.91 Impact Factor
  • Norman C Charles, Richard D Lisman
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    ABSTRACT: A case of intraosseous orbital hemangioma is reported to alert surgeons to possible intraoperative hemorrhage during excision of such a lesion. A slowly enlarging mass was excised from the orbital rim of a 49-year-old woman. The clinical diagnosis was not suspected. In retrospect, roentgenographic findings included a focal honeycombed pattern of the zygomatic bone. Surgery was complicated by persistent low-volume bleeding. Histology showed endothelial-lined blood-filled channels within the bone. Intraosseous orbital hemangioma is a rare, benign neoplasm that can often be diagnosed clinically by characteristic roentgenographic findings. Observation should be considered as a therapeutic alternative when the radiographic diagnosis is established and when ocular function is not compromised.
    Ophthalmic surgery and lasers 01/2000; 33(4):326-8.
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    ABSTRACT: This is the first known report of a relatively large postoperative pyogenic granuloma developing after a nonsutured transconjunctival blepharoplasty. Inflammation and separation or malapposition of the conjunctival wound edges probably permitted the lesion to proliferate in the inferior fornix. No foreign material could be implicated because no suture was used to close this incision. Additionally, Polydek suture material (braided polyester fiber) was associated with the complication of a suture tract and granuloma when used for a tarsal suspension procedure for ectropion repair in this patient.
    Ophthalmic Plastic and Reconstructive Surgery 01/1994; 9(4):298-301. · 0.91 Impact Factor
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    ABSTRACT: Canalicular stenosis is a frequent cause of epiphora. Patients with canalicular stenosis often require timely insertion of bicanalicular silicone stents to prevent permanent and complete closure of the canaliculi. This study reports the use of balloon canaliculoplasty in conjunction with silicone tube intubation in selected cases of canalicular stenosis. Patients with canalicular stenosis noted upon probing of the upper and lower lacrimal systems were included in the study. Patients with punctal stenosis underwent concurrent punctoplasty. Patients with complete canalicular obstruction were excluded from the study. The procedure was as follows. Canalicular dilation was achieved with 2 successive dilations of 90 seconds with a 2-mm-diameter balloon dilator, followed by probing and intubation of the lacrimal system with bicanalicular Crawford tubes. Twenty-one eyes (41 canaliculi) of 12 patients (10 females, 2 males) with canalicular stenosis were included in this study. The average age was 64.5 ± 7.5 years. Silicone tubes were left in place for an average 5.5 ± 2.6 (range: 2 to 12) months. Mean follow up after tube removal was 6.2 ± 1.1 months. Improvement within 1 week of the procedure was recorded in 20 out of 21 canaliculi (95.2%). Final clinical outcomes were successful or acceptable in 16 out of 21 eyes (76.2%). Balloon canaliculoplasty with silicone tube intubation is simple and safe and appears to be an effective alternative treatment in patients with canalicular stenosis.
    Ophthalmic plastic and reconstructive surgery 26(6):459-61. · 0.69 Impact Factor

Publication Stats

68 Citations
27.21 Total Impact Points


  • 2010–2011
    • New York Presbyterian Hospital
      New York City, New York, United States
  • 2009–2011
    • American Society of Ophthalmic Plastic and Reconstructive Surgery
      New York City, New York, United States
  • 2000–2010
    • State University of New York Downstate Medical Center
      • Department of Ophthalmology
      Brooklyn, NY, United States
  • 2006
    • New York University
      • Department of Ophthalmology
      New York City, NY, United States