Advances in ophthalmic plastic and reconstructive surgery continue to be made in the state of Hawaii. A new technique of dacryocystorhinostomy using the endoscope and the pulsed Holmium: YAG laser as well as a subconjunctival endoscopic assisted approach to orbital surgery for orbital decompression is described. The integrated hydroxyapatite implant replacing the enucleated eye gives excellent postoperative extraocular motility.
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