Opthalmic Flashcards
why should lubrication gel be used before clipping
prevents haird entering conjunctival sac
what should be used to scrub the area
1:50 (0.2%) iodine/saline solution
alternate with sterile saline
avoid scrub - irritates cornea
name the instrument
Barraquer eyelid apeculum
used to keep eye open
name the instrument
Jaeger eyelid plate
protects globe, flattens lid
name the instrument
bishop-harmon forceps
pointed to grasp conjunctival tissue
name the instrument (indicated by red arrow)
derf needle holder
small suture/needle needs smaller holder
name the instrument
stevens tenotomy scissors
used for optho only - needs to be very sharp and pointed; used to resect and cut skin
what can be used to establish hemostasis
direct pressure with cotton tipped applicator
wedge shaped cellulose sponges
4 x 4 sponges
hand held cautery
phenylephrine
1:10,000 epinepthrine
common surgical disease of eyelids
eyelid lacerations
eyelid tumors
eyelid agenesis
entropion
ectropion
how many layers should be closed in eyelid lacerations
2
- deep layer - bites perpendicular to eyelid, avoid conjunctiva; simple continuous*
- skin - figure 8; places knot away from cornea*
if an eyelid mass on a dog is ________ of the eyelid margin, treat it like a ___________
if an eyelid mass on a dog is <1/3 of the eyelid margin, treat it like a laceration
eyelid reconstruction techniques
single pedicle advancement flap
lid to lid flap
semicircular flap
T/F most canine eyelid tumors are benign
True - 73% are benign
what technique is used to remove eyelid tumors
H-shaped resection
allows less lid margin resection
what is the most common feline eyelid tumor
squamous cell carcinoma
Px guarded