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repair of entropion
surgical procedure
15
Medical
Professional
02/02/2020

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Cards

Term
what is entropion
Definition
abnormal inversion of lower eye lid.
Term
involuntional vs congenital

involuntional
Definition
involutional: most common type when canthal tendon retains rigidity but tarsus and orbital fat start to atrophy resulting in inversion
Term
what type of incision is made?
Definition
lateral canthotomy
Term
what instruments could be used to make incision?
Definition
straight tenotomy scissors or #15 blade
Term
what suture is used to reattach lateral canthal tendon
Definition
4-0 or 5-0 nonabsorbable suture
Term
what suture is used on skin
Definition
6-0 or 7-0 nonabsorbable suture
Term
what is the would classification
Definition
class 1 : clean
Term
complications?
Definition
post op SSI
Term
post op care
Definition
antibiotic ointment applied, ice cold compress to reduce swelling. instruct patient not to touch the eye.
Term
involuntional vs congenital

congenital
Definition
congenital: hypertophy of oculi muscle pushing eyelid superiorly and against the globe.
Term
instrumentation
Definition
esu, with needle tip bovie.
raytecs
local (usually 1% xylocaine with epi)
small gauge angled needle
straight tenotomy scissors
#15 blade
4-0 or 5-0 and 6-0 or 7-0 nonabsorbable suture
smooth tissue forceps
Term
symptoms of entropion
Definition
eyelashes rubbing against cornea
pain
chronic tears
Term
entropion is due to:
Definition
aging or can be caused by trauma
Term
incision through
Definition
skin, orbicularis oculi muscle,orbital septum, fat pocket excised lateral canthus to shorten lid.
Term
difference between entropion and ectropion
Definition
entropio=+ inversion of lower lid
ectropion= inversion of upper lid
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