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
Any questions be sent to drmmkapur@gmail.com
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