Full Thickness Eyelid Wedge Resection: -indications: mass, tumor and entropion/ectropion; -up to 1/3 of eyelid margin can be removed safely and skin reapposed; -use two layer closure (conjunctiva-6-0 absorbable; skin-4-0 or 5-0 nylon); - initial skinsuture should be at skin margin. Corneal Grid Keratotomy: -indications: indolent corneal ulceration only; -initially need to debride which can be done by #15 blade and local anesthesia only; -I use a 21 gauge needle (tip does not need to be bent); -gridapproximately 1mm into normal epithelium/stroma; -consider concurrent use of a collagen shield; -triple antibiotic BID (gentocin may be toxic to reepithelialization), ± atropine.
展开▼
