Conjunctivochalasis, excision and scleral tacking
This narrated video demonstrates the excision of redundant conjunctiva (conjunctivochalasis) with scleral tacking closure sutures that can be used for refractory cases 실행 중인 어플리케이션 다운로드. The video reviews the technique and possible complications. Alternative techniques are shown in other videos on this website
Conjunctivochalasis excision: cut and tack technique
Tacking the conjunctiva to the sclera may be beneficial in refractory conjunctivochalasis 월리를 찾아라 다운로드. The surgical field is prepared with topical anaesthetic and povidone iodine.
A speculum exposes the inferior conjunctiva and by stretching the conjunctiva minimises the risk of over-zealous excision 영화 생활의 발견 다운로드. However, it makes it harder to determine the location and degree of redundancy, which should be assessed and can be marked prior to placing the speculum 다운로드.
Marking the area the redundant fold is not essential, but can help ensure a neat elipse is excised.
The procedure can be done under topical anaesthetic but a small injection of subconjunctival anaesthetic may make it more comfortable and raise the conjunctiva to be excised 윈도우 10 사운드 드라이버 다운로드.
The redundant conjunctival fold is excised.
Buried 8-0 vicryl are being placed that enter from the internal surface of the superior edge and exit on the external conjunctival surface 다운로드. They re-enter through the external surface of the inferior edge and exit on the inside of the incision and then a cautious bite of the sclera is taken to tack the conjunctiva down before the suture is tied with the knot buried 드래곤 길들이기 3 더빙판 다운로드. A spatulated needle is probably the best balance between relatively easy penetration and passage through the sclera without the increased risk of penetration of the cutting needle and even more so of the reverse cutting needle 다운로드.
A couple more tacking sutures and a couple of simple conjunctiva closure sutures are placed.
The procedure does carry a risk of complications including ocular penetration, fornical shallowing, cicatricial entropion, globe restriction particularly of upgaze, granuloma formation and persistent inflammation or giant papillary conjunctivitis 다운로드.