Excision of Chalazion
Objective
The removal of a cystic enlargement of the Meibomian gland in the
eyelid.
Position
Supine with head elevated.
Anesthesia
The skin or conjunctiva overlying the lesion is infiltrated with
local anesthesia.
Procedure
1. The cyst is usually
removed via the conjunctiva but occasionally through the skin.
2. A
chalazion clamp is applied with the cyst projecting into the ring of the
forceps.
3. Approach
to the cyst through the conjunctiva vertical incision is made to the lid
margin, for this type of wound closes readily without sutures.
4. The
cyst is curetted.
5. Or
a recurred cyst is dissected out with sharp scissors or a scalpel.
6. The
cyst can be approached through the skin.
7. The
incision is made parallel with the lid margin.
8. And
closed afterwards with a few interrupted synthetic non-absorbable or silk
sutures.
Instruments
• Sponge holding forceps
(Rampley), 2
• Scalpel
handle, and No. 15 blade (Bard Parker)
• Tarsal
cyst forceps (Greene) (Fig. 14.40)
• Meibomian
cyst curettes, 3 sizes (Fig. 14.41)
• Fine
needle holder (Barraquer) (Fig. 14.4)
• Towel
clips (Backhaus), 4
• Hand
cautery and points
• 6/0
synthetic non-absorbable or black silk
• Small
cutting needle for skin closure.
Any questions be sent to drmmkapur@gmail.com
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