While there are books that review lacrimal surgery as a portion of oculoplastic practice, The Lacrimal System: Diagnosis, Management & Surgery, Second Edition, addresses the range of lacrimal disorders in one concise, practical volume. Building off of the success of the first edition, this text includes significantly updated information, as well as new chapters that are complete with high quality color images and illustrations. Lacrimal surgeries are among the most commonly performed ones in oculopastic surgery. The procedures range from unblocking tear ducts in small children with congenital dysmorphology, to correcting dry eye through surgery. As with many of these procedures, the disorders sound minor but the patients' lives are seriously affected. By broadening the scope of the subject, the editors of The Lacrimal System, Second Edition meet the needs of oculoplastic surgeons, ophthalmologists, residents and fellows who are learning these special procedures.

The desire to teach and the fulfillment attained from teaching have again prompted us to produce a work that we hope is both useful and enlightening to our readers. The field of oculoplastic surgery has grown and evolved to include all aspects of eyelid and facial plastic surgery. Our literature must now reflect the advancements and - rection of our field. Knowledge of anatomy, the basis of all surgery and the root of surgical principles and techniques, supports our ab- ity to deliver the highest quality care to our patients. We have therefore combined text and diagrams and supplemented them with DVD digital video technology to enable those who wish to perform this surgery the best possible instruction and preparation. We hope that our attempts to accomplish this will be rewarded by the use of this material by colleagues and the acknowledgment of our unique and logical progression in the field of eyelid and facial pl- tic surgery. The previous volume in this series covered reconstructive eyelid surgery. This volume presents many aspects of facial cosmetic surgery, including blepharoplasty, endoscopic forehead surgery, rhytidectomy, and other related procedures. Future volumes will pr- ent facets of lacrimal and orbital surgery. Frank A. Nesi, MD vii ACKNOWLEDGMENTS Bringing a book project to fruition is always a complicated process involving many people. It is through their dedication, profession- ism, and team effort that it all comes together.

How did the breakdown of Roman rule in the Iberian Peninsula eventually result in the formation of a Visigothic kingdom with authority centralised in Toledo? This collection of essays challenges the view that local powers were straightforwardly subjugated to the expanding central power of the monarchy. Rather than interpret countervailing events as mere 'delays' in this inevitable process, the contributors to this book interrogate where these events came from, which causes can be uncovered and how much influence individual actors had in this process. What emerges is a story of contested interests seeking cooperation through institutions and social practices that were flexible enough to stabilise a system that was hierarchical yet mutually beneficial for multiple social groups. By examining the Visigothic settlement, the interplay between central and local power, the use of ethnic identity, projections of authority, and the role of the Church, this book articulates a model for understanding the formation of a large and important early medieval kingdom.

The text's distinguished authors have perfected the most frequently performed oculoplastic surgical techniques. Starting with eyelid repair, their atlas is designed to instruct all ophthalmologists who wish to learn these techniques and thus enhance their income. Mastery of these procedures is made easier by following the step-by-step illustrations that are complemented by 22 video clips on 2 CD-ROMs. The study of the supporting anatomy, followed by clear-cut guidelines with heavily-illustrated techniques, offers a format which will allow the learner to gain the necessary understanding for achieving a more favorable result.

ince 1985, it has been my privilege to be the Director of The - ciety of Byron Smith Fellows. During the years in which Byron SSmith was with us, his former fellows would meet at the Ame- can Academy of Ophthalmology's annual meeting. They would present to him, and to one another, interesting cases of their own compli- tions that had occurred or cases that had been sent to them that were complications to be repaired. This forum provided the fellows with an excellent format for evaluating their own problems and also for d- cussing how to treat extremely difficult cases. Shortly after Dr. Brian Brazzo completed his fellowship with me in 1998, he asked if I thought it would be appropriate for him to edit a new book on complications of ophthalmic plastic surgery. Certainly, during his fellowship, it became apparent that Dr. Brazzo was pr- ably the most gifted academician and writer that I had ever had the pleasure of training and meeting. I could think of no one more - propriate to continue the work initiated by Dr. Byron Smith and c- ried on by his students.

The distinguished authors have perfected the most frequently performed oculoplastic surgical techniques. The Atlas is designed to instruct all ophthalmologists who wish to learn these techniques. Mastery of these procedures is made easy by numerous superbly illustrated step-by-step instructions. The study of the supporting anatomy, followed by clear-cut guidelines with heavily illustrated techniques, offers a format that allows the learner to gain the necessary understanding for achieving a more favourable result.

he desire to teach and the fulfillment attained from teaching T have again prompted us to produce a work that we hope will be both useful and enlightening to our readers. The field of oculoplastic surgery has grown and evolved to include all aspects of eyelid and facial plastic surgery. Our literature must now reflect the advancements and direction of our field. Knowledge of anatomy, the basis of all surgery and the root of surgical princi pIes and techniques, is the basis of our ability to deli ver the highest quality care to our patients. We have therefore combined text and diagrams, and supplemented them with CD-ROM digital video technology to provide to those who wish to perform this surgery the best possible instruction and prepa ration. We hope that our attempts to accomplish this will be rewarded by the use of our material by our colleagues and the acknowledgment of our unique and logical progression in the field of eyelid and facial plastic surgery. Future volumes in this series will cover other aspects of eyelid, lacrimal, facial, and orbital surgery.

Esther lleva una vida sencilla y apacible como medico en un pequeno pueblo costero, hasta que el destino la lleva a conocer a D Maria, una anciana curandera que la acerca al recuerdo de su madre muerta y a los origenes magicos de la propia Esther. Tras revelaciones sorprendentes, su mente practica tendra asimilar la existencia de otros mundos de belleza inconcebible a los que habra de viajar, pero tambien debera internarse en lugares donde la vida y la luz son solo un vago recuerdo. Esther se convertira en la portadora de un brazalete magico que le ayudara a llevar la luz y la libertad alla donde el tirano Nagalla ha destrozado toda esperanza de felicidad. En su duro viaje, en medio del dolor de una tierra hostil, encontrara dentro de si el valor, la capacidad de amar y la Verdad. Esta obra repleta de aventuras, personajes fascinantes y lugares solo al alcance de la imaginacion, nos propone la idea de un mundo distinto, la posibilidad de un lugar de armonia y belleza gobernado por la sabiduria y el poder del Amor, y donde la libertad es algo mas que un ideal, es algo vivo para disfrutar y compartir.

Ana, una mujer que esta entrando en la madurez, se plantea lo que ha sido toda su vida. Dispuesta a cambiar un destino amargo y frustrante al que nunca se ha opuesto hasta ahora, decide emprender un viaje a lo desconocido. Lo que no sabe es que ese viaje le llevara al interior de una abadia medieval y alli descubrira cosas que le abriran horizontes interiores que jamas imagino. Un misterioso hallazgo la hara viajar en el tiempo y conectar con el antiguo Egipto, mientras encuentra el amor en el vuelo mas hermoso de esta mujer mariposa hacia la luz, que deja atras la oscuridad en el interior de su crisalida.

En un mundo medieval, caotico y cruel, donde la guerra es una rutina para los hombres y sobrevivir el unico objetivo de las mujeres, una joven aristocrata se vera arrojada a una pesadilla de terror y muerte a manos de su peor enemigo. Alejada de los suyos, perdida su inocencia, Blanca de Arlanza se vera obligada a recorrer un sendero de peligros y aventuras en el que contara con inesperados aliados y descubrira toda la fuerza que una mujer es capaz de esconder en su interior. En su camino hacia la libertad hallara, en el corazon de un bosque encantado, un secreto cuyo destino es cambiar por completo el rumbo de la Humanidad. Su historia y la de sus descendientes hara resonar en el lector los ecos de nuestro pasado mas inhospito, aquel en el que los contornos de la historia se desdibujan para dejar entrever las brumas de la leyenda. Historia y fantasia, amor y lealtad, ambicion y locura componen un relato apasionante que nos conducira al corazon de la magia, dentro y fuera de nosotros mismos.

Una mujer enclaustrada entre las poderosas paredes de su rutina, es visitada por unos seres muy especiales. Ellos le ofrecen, si tiene valor para escogerlo, un nuevo camino de descubrimientos... un destino lleno de sentido y esperanza. El universo femenino, en su incierto futuro y en su olvidado pasado, le sera revelado. Ella, desde su modesta posicion, se convertira en su unica protectora humana. Asi, Sofia se vera conducida por el batir de alas al interior de los reconditos secretos de un pasado ignoto donde conocera el equilibrio truncado de los primeros habitantes de la Tierra en una prehistoria desconocida; sera testigo del sino funesto de una mujer en el seno del templo de Delfos; compartira la dificil existencia de una partera en el Carcassonne del medievo o luchara por expresar sus ideas en la Florencia de la Ilustracion... Al regresar, descendera a las entranas de la Tierra en medio de un desierto interminable y volvera a ascender para ocupar su puesto en el hogar de la luz, donde el cielo y la tierra se unen para siempre. Todas las preguntas encontraran sus respuestas, todos los enigmas seran desvelados en este relato de aventuras, reflexion, fantasia y amor tan inclasificable como inolvidable.

Este libro cuenta la historia de Esperanza, una mujer normal y corriente a quien la vida ha golpeado hasta llevarla al borde de la desesperacion, una mujer que no sabe salvarse a si misma pero que tendra que transformarse para librar al mundo de una destruccion inminente. Una extrana y misteriosa organizacion la busca para revelarle que ella es la unica que puede detener el Apocalipsis que se acerca. Pero no estara sola en esta batalla contra las fuerzas de las tinieblas. Angeles, demonios, luz, oscuridad, todo se une formando una aventura magica, legendaria, en la que el lector se sumerge y se deja llevar, mientras contiene el aliento, de la mano de unos protagonistas tan reales como heroicos. Una verdadera epopeya que no dejara indiferente a nadie y que hara que el concepto del "Fin del Mundo" adquiera un sentido nuevo y esperanzador.