Mr James Hsuan is a consultant ophthalmologist with a sub-specialty practice in oculoplastic and orbital surgery.  He has worked at Aintree University Hospital, Liverpool since 2005, prior to which he completed oculoplastic and orbital surgery fellowships in Bristol and Adelaide. He has a particular interest in reconstructive surgery of the periocular region and also works closely with maxillo-facial, ENT and neurosurgical colleagues at Aintree and the Walton Centre.

JOURNAL REVIEWED: Ophthalmic Plastic & Reconstructive Surgery – Jun 2014 (ongoing)

Latest Contribution


A tarso-conjunctival flap for paralytic ectropion

This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...


Success rates of primary and revision transcanalicular DCR surgery

Transcanalicular laser dacro cysto rhinostomy (DCR) is a relatively rare procedure compared to more conventional external or endonasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser DCR (TCDL DCR), comparing a...


Assessing the quality of scars from incisions made by a Colorado needle or a scalpel

Traditional teaching has held the best scars are achieved with cold steel although no previous study has formally investigated this hypothesis in oculoplastic surgery. This paper describes a non-randomised cross-sectional study comparing the scar quality achieved from cold steel with...