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This text is part of a 10-volume series that the editors present as our vision of a Textbook of Ophthalmology for the 1990s: one that integrates the basic visual science and clinical information of each subspecialty in a separate volume that is edited or written by noted basic scientists and clinicians; one that is manageable, readable, and affordable for the ophthalmic expert as well as the neophyte; and one that contains original diagrams, figures, and photographs—all in full color—designed to depict the necessary knowledge we hope to impart. Richard R. Tenzel, MD, a pioneer in ophthalmic plastic surgery, is the associate editor for volume 4, Orbit and Oculoplastics. The book is divided into 10 chapters written by different authors, with the first six covering the eyelids (lid retraction, ptosis, entropion, ectropion of the lower lid, cosmetic blepharoplasty, eyelid tumors, and reconstructive surgery) followed by a chapter on lacrimal disease and