Thursday, September 24, 2015

OPHTHALMIC OPERATION 2 correction ectropian


Ectropian Correction
Objective
The correction of an eyelid deformity (causing permanent exposure of the conjunctiva).
Position
Supine.
Anesthesia
Local.
Procedure
There are several operations for this condition, including skin grafting procedures. Basically:
1.  The V-Y procedure to suture the skin.
2.  A mapping pen, dipped in gentian violet may be used to mark the redundant fold.
3.  An incision is made along the marked line and an arrow headed area excised.
4.  Kilners hooks are used to bring together the eyelid skin to a point where the ectropion is corrected.
Instruments
•   As for Chalazion, plus
•   Eyelid retractors, left and right (Clark or Lang), 2 (Fig. 14.42)
•   Eyelid retractors Desmarre’s (Fig. 14.29)
•   Fine skin hooks (Kilner), 2
•   Mapping pen and gentian violet
•   6/0 Synthetic absorbable on small cutting needle for orbicularis suture

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