Ophthalmology and Visual Sciences
Our nationally renown ophthalmologic specialists offer patient care in the following areas general ophthalmology, pediatric ophthalmology, cornea, retina and refractive surgery, glaucoma, optometry, neuro ophthalmology, oculoplastics, ocular oncology and pathology. Whether you need a routine eye exam or a refractive surgeon, there is a physician in our Department who can provide for your eye health care needs.
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Ophthalmology and Visual Sciences

Philip L. Custer, MD

Current Position
Professor, Ophthalmology and Visual Sciences

Specialty Areas
Ophthalmic Plastic Reconstructive Surgery
Eyelid and Orbital Diseases
Cosmetic Eyelid, Forehead and Cheek Surgery

Read a Top Story interview: Dr. Custer discusses drooping eyelids and loss of vision.

Patients Seen At
Eye Center
Center for Advanced Medicine
4921 Parkview Place, C , 12
St. Louis, MO  63110
314-362-3937
Fax:   314-362-3725
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Mailing Address
Washington University School of Medicine
Department of Ophthalmology and Visual Sciences, Campus Box 8096
St. Louis, MO  63110

Areas of Clinical Interest
Cosmetic eyelid surgery, endoscopic forehead and midface procedures; eyelid lesions and skin cancers, eyelid malpositions (ptosis, ectropion, entropion), lacrimal (tearing) disorders, post-traumatic deformities, ophthalmic reconstructive surgery, orbital conditions, enucleation/socket reconstruction, thyroid eye disease, ocular oncology and orbital tumors.

Board Certification
Ophthalmology -- Certified

Medical Education
B.S.: Vanderbilt University, Nashville, Tennesse , 1974
Medical Degree: Vanderbilt University School of Medicine, Nashville, Tennesse , 1978
Residency: Washington University School of Medicine, St. Louis, Missouri , 1982
Fellowship: Ophthalmic Plastic & Reconstructive Surgery, Bascom Palmer Eye Institute, Miami, Florida , 1984
Hospital Affiliations
Barnes-Jewish Hospital
St. Louis Children's Hospital

Major or Recent Publications/Awards

Honors and Awards


Listed in Best Doctors in America, 2003, 2005 - 2009 (Best Doctors, Inc.)

Journal Articles

Traumatic enucleation with avulsion of the ophthalmic artery resulting in aneurysm-like subarachnoid hemorrhage.Limbrick DD, Behdad A, Derdeyn CP, Custer PL, Zipfel GJ, Santiago P. J Neurosurg. 2009 Apr 17. [Epub ahead of print]

Use of Lorenz titanium implants in orbital fracture repair. Chang SH, Custer PL, Mohadjer Y, Scott E. Ophthal Plast Reconstr Surg. 2009 Mar-Apr;25(2):119-22.

Orbital radiation for graves ophthalmopathy: a report by the American Academy of Ophthalmology. Bradley EA, Gower EW, Bradley DJ, Meyer DR, Cahill KV, Custer PL, Holck DE, Woog JJ. Ophthalmology. 2008 Feb;115(2):398-409. Review.

Custer PL, Trinkaus KM. Porous implant exposure: incidence, management, and morbidity. Ophthal Plast Reconstr Surg 2007; 23:1-7.

Custer PL, Vick V. Repair of marginal eyelid defects with 7-0 chromic sutures. Ophthal Plast Reconstr Surg 2006; 22:256-8.

Custer PL, McCaffery S. Complications of sclera-covered enucleation implants. Ophthal Plast Reconstr Surg 2006; 22:269-73.

Kaltreider SA, Kennedy RH, Woog JJ, Bradley EA, Custer PL, Meyer DR. Cosmetic oculofacial applications of botulinum toxin. Ophthalmology 2005; 112:1159-67.

Custer PL. Ophthalmic management of the facial palsy patient. Seminars in Plastic Surgery 2004; 18:31-8.

Custer PL, Lind A, Trinkaus KM. Complications of Supramid Orbital Implants. Ophthal Plast Reconstr Surg 2003; 19:62-67.

Pira T, Custer P. Blepharoptosis following intraocular surgery. Comp Ophthalmol Update 2003; 4:97-102.

Custer PL, Kennedy RH, Woog JJ, Kaltreider SA, Meyer DR. Orbital implants in enucleation surgery: a report by the American Academy of Ophthalmology. Ophthalmology 2003; 110:2054-2061.

Custer PL, Trinkaus KM. Hemorrhagic complications of oculoplastic surgery. Ophthal Plast Reconstr Surg 2002;18:409-415.

Custer PL, Harvey H. The arm as a skin graft donor site in eyelid reconstruction. Ophthal Plast Reconstr Surg 2001; 17:427-430.

Woog JJ, Kennedy RH, Custer PL, Kaltreider SA, Meyer DR, Camara JG. Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology. Ophthalmology 2001; 108:2369-2377.

Custer PL. Ptosis repair, in Oculoplastic Surgery: The Essentials. WP Chen, editor, Thieme, New York NY. Manuscript accepted.

Custer PL. Enucleation of Blind, Painful Eyes. Ophthal Plast Reconstr Surg 2000;16:326-9.

Custer PL. Enucleation: past, present, and future. Editorial. Ophthal Plast Reconstr Surg 2000;16:316-21.

Custer PL, Trinkaus KM, Fornoff J. Comparative motility of hydroxyapatite and alloplastic enucleation implants. Ophthalmology 1999;106:513-516.

Custer PL, Trinkaus KM. Volumetric determination of enucleation implant size. Am J Ophthalmol 1999;128:489-494.

Committee on Ophthalmic Procedures, Oculoplastic Surgery Panel. Laser blepharoplasty and skin resurfacing. Ophthalmology 1998;105:2154-2159

Custer PL. Lower Eyelid Blepharoplasty. In: Principles and Practice of Ophthalmic Plastic and Reconstructive Surgery . Philadelpihia: W.B. Sanders Company, 1996: 617-625.

Tarbet KJ, Custer PL. External dacryocystorhinostomy: surgical success, patient satisfaction and economic cost. Ophthalmology 1995;102:1065-1070.

Walker RS, Custer PL, Nerad JA. Surgical excision of periorbital capillary hemangioma. Ophthalmology 1994;101:1333-1340.

Custer PL. Trans-nasal flap for medial canthal reconstruction. Ophthalmic Surg 1994;25:601-603.

Feibel RM, Custer PL, Gordon, MO. Postcataract Ptosis: A randomized, double, masked comparison of peribulbar and retrobulbar anesthesia. Ophthalmology 1993;100(5):660.

Custer PL. Conceptual approach to eyelid reconstruction. Otolaryngologic Clinics of N America 1990;23:991-1002.

Custer PL, Tenzel RR. Lateral canthal sling update. Ophthalmic Plast Reconstr Surg 1985; 1:121-127.

Custer PL, Tenzel RR, Kowalczyk AP. Blepharochalasis Syndrome. Am J Ophthalmol 1985;99:424-428

For more articles and abstracts, take this off-site link to the National Library of Medicine Pub Med page for Dr. Philip L. Custer

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Copyright 2009 Washington University School of Medicine