Dr. P. J. Dolman, Clinical Professor & Division Head
Dr. F. Buffam, Clinical Professor
Dr J, Carruthers, Clinical Professor
Dr P. Denton, Clinical Assistant Professor
Dr. H. Dhaliwal, Clinical Associate Professor
Dr. J. Rootman, Professor
Dr. D. Rossman, Clinical Assistant Professor
Dr. V.T. Wong, Clinical Associate Professor
Our division's goals include excellent clinical care, teaching and research.
Our eight clinicians manage patients with diseases of the eyelids, lacrimal system and orbit from throughout the province and Western Canada. Dedicated clinics and surgery are provided in lower mainland teaching hospitals including the Eye Care Centre and the Burnaby, Children's, Lion's Gate, Providence, Vancouver General and University Hospitals. Drs Buffam, Denton, Dhaliwal and Wong focus on oculoplastic diseases , Dr Carruthers on cosmetic oculoplastic procedures and Drs Dolman and Rossman on both oculoplastic and orbit disease. Dr Rootman is currently focussed on research pursuits. Our division works collaboratively with other medical departments, including dermatology, endocrinology, neurosurgery, pathology, plastic surgery and rheumatology.
Teaching plays an integral role in the division with “hands on” teaching being a major strength for both residents and fellows. In excess of 1000 hours per year of teaching is provided by the members of the division in both clinical and surgical settings. Oculoplastic and orbit rounds are held for the residents and Fellows every fourth week. The division offers 1-2 fellowship training positions per year lasting 6 - 12 months, with special consideration for those returning to underserviced areas or academic programmes. Over 45 fellows from every continent have been trained in our unit over the past 30 years. Our teaching extends to other medical departments, with off-service rotations by plastic surgery and endocrinology residents. Several of our faculty are involved in national and international teaching through visiting professorships and lectures and also in volunteering their time to teach and perform surgery in underserviced areas around the world.
In the area of orbital research, a particular interest of Drs Rootman and Dolman has been classifying and managing thyroid eye disease. Dr. Rootman has been instrumental in developing an interdisciplinary team for the management of complex skull based and vascular lesions of the orbit. In oculoplastics, our contributions have included reviews of eyelid malignancies by Drs Buffam, and several prospective studies on endonasal lacrimal surgery by Dr Dolman. Several clinicopathologic studies have been conducted collaboratively with Dr Val White in Ocular Pathology.
Naumann M, Carruthers A, Carruthers J et al. Meta-Analysis of Neutralizing Antibody Conversion With OnabotulinumtoxinA (BOTOX ® ) Across Multiple Indications. Movement Disorders.2010; 25:2211-2218
A Carruthers,MD, Carruthers J New developments in the use of botlulinum toxin. Access Dermatology Online Journal July 2009
Carruthers A, Carruthers J. A Single-Center, Dose-Comparison, Study of Botulinum Neurotoxin Type A in Females With Upper Facial Rhytids: Assessing Patients' Perception of Treatment Outcomes. J Drugs in Dermatology:October 20
Carruthers JDA, Carruthers A. Two Center Canadian Report on the Safety and Effectiveness of Evolence Breeze. J Drugs in Dermatology. Sept 2009,Vol8,Issue 9:830-834.
Carruthers JA, Carruthers JDA . A Single Center Dose- Comparison Study of Botulinum Neurotoxin type A in Females with Upper Facial Rhytides: Assessing Patients' Perception of Treatment Outcomes . J Drugs in Dermatology. 2009; 8: 924-929.
Carruthers A, Carruthers J . Safety of Lidocaine 15% and Prilocaine 5% Topical Ointment Used as Local Anaesthesia for Intense Pulsed Light Treatment. Dermatol Surg 2010;36:1-8.
Carruthers A, Carruthers J et al. Multicenter, Randomized Parallel Group Study of the Safety and Effectiveness of OnabotulinumtoxinA and Hyaluronic Acid Dermal Fillers Alone and in Combination for Lower Facial Rejuvenation. Dermatologic Surgery. 2010; 36: 2121-2134.
Carruthers J, Carruthers A et al. Multicenter randomized Parallel Group Study Onabotulinumtoxin A and Hyaluronic Acid Dermal Fillers)Alone and in Combination for Lower Facial Rejuvenation:Satisfaction and Patient Reported Outcomes. Dermatologic Surgery.2010;l 36:2135-2145.
Carruthers A, Carruthers J .Editorial: Introduction to 2010 Special Issue on Botulinum Toxins. Dermatologic Surgery. 2010: 36: 2087
Carruthers J , Carruthers A Tezel A et al. Volumizing with a 20mg/ml smooth ,highly cohesive viscous hyaluronic acid filler and its role in Facial Rejuvenation therapy.Dermatologic Surgery 2010;36:1886-1892 .
Naumann, M, Carruthers A, Carruthers J et al Meta-Analysis of Neutralizing Antibody Conversion with OnabotulinumtoxinA (BOTOX1) Across Multiple Indications Movement Disorders 2010;. 25:. 2211–2218
Carruthers A, Carruthers J et al. OnabotulinumtoxinA Treatment of Mild Glabellar Lines in Repose. Dermatol Surg 2010;36:2168–2171
Carruthers J, Rzany B et al. Anatomic Guidelines for volume augmentation of the cheek and infraorbital hollow. Dermatologic Surgery 2012; 1223-33
Flynn, T.C., Carruthers, A., Carruthers, J., Geister, T.L. et al, “Validated Assessment Scales for the Upper Face” Dermatol Surg, 2012;38: 309-319
Carruthers, J ., Flynn, T.C., Geister, T.L., Gortelmeyer, R., et al. and Carruthers. A., “Validated Assessment Scales for the Mid Face”, Dermatol Surg, 2012;38:320-332
Sattler, G., Carruthers, A., Carruthers, J ., et al. Validated Assessment Scale for Neck Volume. Dermatol Surg 2012;38:343-350
Narins RS, Carruthers J, Flynn TC, et al. Validated assessment scales for the lower face. Dermatol Surg. 2012;38:333-42.
Carruthers, A, Carruthers, J. 2012. Botulinum Toxin: Cosmetic and Medical Uses. Philadelphia: Elsevier.
Carruthers, J, Carruthers, A . 2012. Soft Tissue Augmentation. Philadelphia: Elsevier
Codère F, Denton P, Corona J. Endonasal dacryocystorhinostomy: a modified technique with preservatn of the nasal and lacrimal mucosa. Ophthal Plast Reconstr Surg. 2010;26:161-4.
Roefs AM, Waters PJ, Moore GR, Dolman PJ. Orbicularis oculi muscle biopsies for mitochondrial DNA analysis in suspected mitochondrial myopathy. Br J Ophthalmol . 2012; 96:1296-9
Dolman PJ, Rath S. Orbital radiotherapy for thyroid eye disease. Curr Opin Ophthalmol . 2012; 23:427-32.
Rodriguez RC, Cornock E, White VA, Dolman PJ. Eyelid blastomycosis in British Columbia. Can J Ophthalmol . 2012; 47
Dolman PJ. Evaluating Graves' orbitopathy Best Pract Res Clin Endocrinol Metab . 2012 Jun;26:229-48. Review.
Dolman PJ: Assessing thyroid orbitopathy and the role of ITEDS: chapter in Orbitopatia de Graves (SP), editors: Genol and Toledano), Madrid, 2012
Wiwatwongwana D, Esdaile JM, White VA, Dolman PJ. Intravenous immunoglobulin for orbital Wegener's granulomatosis. Can J Ophthalmol . 2012;47:82-3..
Dolman PJ, Cahill K, Czyz CN, Douglas RS, Elner VM, et al. Reliability of estimating ductions in thyroid eye disease: an International Thyroid Eye Disease Society multicenter study. Ophthalmology . 2012 Feb;119(2):382-9.
Fayers T, Dolman PJ. Validity and reliability of the TED-QOL: a new three-item questionnaire to assess quality of life in thyroid eye disease. Br J Ophthalmol . 2011 Dec;95(12):1670-4.
Dolman PJ. Endonasal Dacryocystorhinostomy. (chapter in Atlas of Oculoplastic Surgery, editor Lucarelli), Boston, 2011
Moloney G, Dolman PJ. Eyelid deformities from pyodermatitis pyostomatitis vegetans. Clin Experiment Ophthalmol . 2011 Dec;39(9):910-1.
Prabhakaran VC, Cannon PS, McNab A, Davis G, O'Donnell B, Dolman PJ, Ghabrial R, Selva D. Lesions mimicking lacrimal gland pleomorphic adenoma. Br J Ophthalmol . 2010; 94:1509-12.
Wiwatwongwana D, White VA, Dolman PJ. Two cases of periocular cutaneous angiosarcoma. Ophthal Plast Reconstr Surg . 2010 Sep-Oct;26(5):365-6.
Fayers T, Morris DS, Dolman PJ. Vibration-assisted Anesthesia in Eyelid Surgery. Ophthalmology 2010; 18
Dolman PJ. Evisceration, enucleation, and alternatives to globe removal. Can J Ophthalmol 2010; 45(1): 9 -10
Morris DS, Fayers T, Dolman PJ. Orbital Teratoma: Case Report and management review. JAAPOS. 2009 Dec; 13(6): 605-7
Dolman PJ. Response to: Amaurosis as a complication of non-endoscopic endonasal Dacryocystorhinostomy. Ophthal Plast Reconstr Surg . 2009 Sep-Oct;25(5):415-6.
Madge SN, Malhotra R, Desousa J, McNab A, O'Donnell B, Dolman P, Selva D. Lacrimal Bypass Tube for Lacrimal Pump Failure Attributable to Facial Palsy. Am J Ophthalmol . 2009 Nov 5.
Douglas RS, Cahill K, Dolman PJ et al, Development of criteria for evaluating clinical response in thyroid eye disease using a modified Delphi technique, Arch Ophthalmol 2009; 127(9): 1155-60
Wiwatwongwana D, Berean KW, Dolman PJ, Rootman J, White VA. Unusual carcinomas of the lacrimal gland: epithelial-myoepithelial carcinoma and myoepithelial carcinoma. Arch Ophthalmol . 2009 Aug;127(8):1054-6.
Bleyen I, Dolman PJ The Wies Procedure for Management of Trichiasis or Cicatricial Entropion of the Upper or Lower Lid. Br J Ophthalmol .2009; 93(12): 1612-5
Chuo JY, Dolman PJ, Ng TL, Buffam FV, White VA. Clinical and Histopathologic Review of 18 explanted porous polyethylene implants. Ophthalmology . 2009 Feb;116(2):349-54
Sangha BS, Rootman J , Heran MK. CT-guided Microcoil Localization before surgical management of an intraorbital abscess. J Vasc Interv Radiol . 2012;23:1248-9.
Weis E, Heran MK, Jhamb A, Chan AK, Chiu JP, Hurley MC, Rootman J . Quantitative compute tomographic predictors of compressive optic neuropathy in patients with thyroid orbitopathy: a volumetric analysis. Ophthalmology . 2012; 119:2174-8
Winn BJ, Rootman J . Sclerosing orbital inflammation and systemic disease.Ophthal Plast Reconstr Surg . 2012 Mar;28(2):107-18.
Rootman DB, Rootman J , Gregory S, Feldman KA, Ma R. Stereotactic fractionated radiotherapy for cavernous venous malformations of the orbit. Ophthal Plast Reconstr Surg . 2012 Mar;28(2):96-102.
Weis E, Heran MK, Jhamb A, Chan AK, Chiu JP, Hurley MC, Rootman J . Clinical and soft tissue CT predictors of dysthyroid optic neuropathy: refinement of the constellation of findings at presentation. Arch Ophthalmol . 2011;129(10):1332-6.
Rootman DB, Mavrikakis I, Connors JM, Rootman J . Primary unilateral ocular adnexal lymphoma: disease progression and long term survival. Ophthal Plast Reconstr Surg . 2011 Nov;27(6):405-9.
Chokthaweesak W, Annunziata CC, et al. Primitive neuroectodermal tumor of the orbit in adults: a case series. Ophthal Plast Reconstr Surg . 2011;27:173-9.
Yeung SN, White VA, Nimmo M, Rootman J .Optic nerve gliomas: role of Ki-67 saining of tumour and margins in predicting long-term outcome. Br J Ophthalmol . 2011;95:1077-81.
Garcia DD, Heran MK, Amadi AJ, Rootman J . Low outflow distensible venous malformations of the anterior orbit. Ophthal Plast Reconstr Surg . 2011 2:38-43.
Mulholland CP, Rootman J , Lyons CJ. Primary iris neovascularization in neurofibromatosis type 1. J Neuroophthalmol . 2010 Dec;30(4):340-1.
Lyons CJ, Rootman J . Strabismus in Graves orbitopathy. Pediatr Endocrinol Rev . 2010 Mar;7 Suppl 2:227-9. Review.
Saeed P, Blank L, Selva D, Wolbers JG, Nowak PJ, Geskus RB, Weis E, Mourits MP, Rootman J . Primary radiotherapy in progressive optic nerve sheath meningioma. Br J Ophthalmol . 2010;94:564-8.
Yi BP, Leng SL, Kwang LB, Rootman J. Development of thyroid-related orbitopathy following cataract surgery Orbit. 2009;28(6):383-7
Peleg A, Heran MK, White VA, Chang WY, Rootman J. Malignant lymphoproliferative disorders extending into the orbit from the paranasal sinuses. Orbit. 2009;28(2-3):80-7.
Zakrzewski PA, Weis E, White VA, Rootman J. Intracellular extraoocular muscle light and heavy chain deposition disease contributing to compressive optic neuropathy in a patient with preexisting Graves' orbitopathy. Ophthalmologica. 2010;224(1):59-62.
Weis E, Rootman J, Joly TJ, Berean KW et al. Epithelial lacrimal gland tumors: pathologic classification and current understanding. Arch Ophthalmol. 2009 Aug;127(8):1016-28
Rootman J, White VA. Changes in the 7th edition of the AJCC TNM classification and recommendations for pathologic analysis of lacrimal gland tumors. Arch Pathol Lab Med. 2009 Aug;133(8):1268-71
Coupland SE, White VA, Rootman J, Damato B, Finger PT. A TNM-based clinical staging system of ocular adnexal lymphomas. Arch Pathol Lab Med. 2009 Aug;133(8):1262-7
Finger PT; 7th Edition, AJCC-UICC Ophthalmic Oncology Task Force. The 7th edition AJCC staging system for eye cancer: an international language for ophthalmic oncology. Arch Pathol Lab Med. 2009 Aug;133(8):1197-8
Shen S, Fong KS, Wong HB, Looi A, Chan LL, Rootman J, Seah LL.Normative meaasurements of the Chinese extraocular musculature by high-field magnetic resonance imaging. Invest Ophthalmol Vis Sci. 2010;51:631-6.
Yeung SN, Heran MK, Smith A, White VA, Rootman J. Perineural gliomatosis associated with isolated optic nerve gliomas. Br J Ophthalmol. 2009 Jun;93(6):839-41
Wiwatwongwana D, Rootman J. Bilateral microphthalmos with cyst: excision with orbital free fat graft. Ophthal Plast Reconstr Surg. 2009 May-Jun;25(3):241-3
Ahmad SM, Esmaeli B, Williams M, et al. American Joint Committee on Cancer classification predicts outcome of patients with lacrimal gland adenoid cystic carcinoma. Ophthalmology. 2009 Jun;116(6):1210-5.
Mavrikakis I, Heran MK, White V, Rootman J. The role of thrombosis as a mechanism of exacerbation in venous and combined venous lymphatic vascular malformation of the orbit. Ophthalmology. 2009;116(6):1216-24.
Wong JC, Rossman D, Bressler B. Dacryoadenitis, an extra-intestinal manifestation of Crohn's disease. Am J Gastroenterol. 2010;105: 1904-6
Pfeffer G, Waters PJ, Maguire J, Vallance HD, Wong VA et al. Levator palpebrae biopsy and diagnosis of progressive external ophthalmoplegia. Can J Neurol Sci . 2012 Jul;39(4):520-4.