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3SP: Surgery/Injections > Radiofrequency Procedure-additional > Flashcards

Radiofrequency Procedure-additional Flashcards

1
Q

Additional radio frequency procedures

A 
– Trichiasis
– Telangiectasia
– Hemangioma
– Molluscum Contagiosum
– Syringoma
– Punctoplasty
– Punctal Occlusion
– Punctal Occlusion
– Conjunctivochalasis
– Chalazion Incision
– Excisional Biopsy
– Xanthalasma
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2
Q

Indication for RF for trichiasis

A

Bothersome Lashes with corneal discomfort/staining/and/or scarring

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3
Q

Procedure for trichiasis for RF

A
  • Anesthetize lower lid at margin with topical or local anesthetic
  • Grab lash with forceps
  • Place needle beside lash shaft into the follicle (until it cannot go further)
  • Tap the foot pedal and immediately let off
  • Gently pull lash → smoothly comes out = finished → If not repeat again
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4
Q

Specs for trichiasis RF

A
  • Micro-insulated needle tip

* Mode 3 @ ~1-2

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5
Q

Indication for RF for telegectasia

A

Cosmetically bothersome or irritating

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6
Q

Procedure for RF for telangiectasia

A
  • Anesthetize skin with topical transdermal anesthetic cream
  • With very light pressure, gently touch center of telangiectasia
  • Tap the foot pedal and immediately let off
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7
Q

Specs for telangiectasia

A
  • Micro-insulated needle tip

* Mode 3 @ ~1-3

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8
Q

Indication for RF for hemangioma

A

Elevated, blood filled anastomais of vessles

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9
Q

Procedure for RF for hemangioma

A

• Anesthetize lesion and surrounding tissue with local anesthetic
• With very light pressure, gently touch center of the hemangioma
• Tap the foot pedal and immediately let off
– The lesion should turn dark when done correctly

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10
Q

Specs for RF for hemangioma

A
  • Broad base needle, ball, or pin tip

* Mode 3 @ ~1-3

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11
Q

Indication for RF for molluscum contagiosum

A

Single or multiple pearly white umbilicated central keratin plug lesions

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12
Q

Procedure for RF with molluscum

A
  • Anesthetize lesion with topical or local anesthetic
  • Place electrode within center of lesion
  • Tap the foot pedal and immediately let off
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13
Q

Specs for RF for molluscum

A
  • Ball tip

* Mode 3 @ ~1-3

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14
Q

Indication for RF for syringoma

A

Benign eccrine sweat duct neoplasms

Common on lower eyelid, more common in females after puberty

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15
Q

Procedure for RF

A
  • Anesthetize lesion with local anesthetic
  • Place electrode within center of lesion
  • Tap the foot pedal and immediately let off
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16
Q

Specs for RF for molluscum

A
  • Pin tip

* Mode 3 @ ~1-3

17
Q

Indication for punctiplasty RF

A

Punctual stenosis with symptomatic epiphora

18
Q

Procedure for RF for punctoplasty

A

• Anesthetize lower punctal area with local anesthetic
• Place electrode at edge of punctum and made a small sweeping motion to enlarge the opening
– Careful to not go too deep to puncture through the canaliculi**

19
Q

Specs for RF for punctoplasty

A
  • Micro-insulated needle tip

* Mode 3 @ ~1-3

20
Q

Indication for punctal ectropion RF

A
  • Poor punctal apposition with symptomatic epiphora

* Open punctum

21
Q

Procedure for punctal ectropion RF

A

• Anesthetize lower punctal area with local anesthetic
• Place bipolar forceps parallel with the punctum at the bottom of tarsus
directly below punctum
• Tap the foot pedal and immediately let off

22
Q

Specs for RF for punctal ectropion

A
  • Bipolar forceps

* Mode 3 @ ~1-3

23
Q

Punctal occlusion RF indication

A
  • Dry eye syndrome/ocular surface disease

* Where medical management and reversible punctal occlusive therapy have failed

24
Q

Procedure for RF for punctal occlsion

A

• Anesthetize lower punctal area with topical or local anesthetic
• Place electrode within punctum • Tap the foot pedal and immediately let off
– This creates mucosal scarring and closure

25
Q

Specs for punctal occlusion RF

A
  • Broad base needle tip

* Mode 3 @ ~1-3

26
Q

Indication for R for conjunctivochalasis

A

• Redundant conjunctiva with symptomatic foreign body sensation

27
Q

Procedure for RF for conjunctivochalasis

A
  • Anesthetize conjunctiva with several drops of tetracaine
  • Retract lower lid
  • Place redundant conjunctiva within forceps parallel to lid margin
  • Activate electrode and gently tap conjunctiva between forceps until it becomes cloudy
28
Q

Specs for RF for conjunctivochalasis

A
  • Broad base needle tip

* Mode 3 @ ~1-3

29
Q

Indication for RF for chalazion incision

A

Chalazion

30
Q

Procedure for RF for chalazion incision

A
  • Anesthetize chalazion with local anesthetic

* Clamp chalazion and incise with wire tip (as if you would if it were a scalpel)

31
Q

Specs for RF for chalazion incision

A
  • Thin wire tip

* Mode 1 or 2 @ ~3-5

32
Q

Indication for RF for excisional biopsy

A

Need to remove lesion with complete borders

33
Q

Procedure for excisional biopsy with RF

A
  • Anesthetize lesion and surrounding tissue with local anesthetic
  • Cut an elliptical incision/excision surrounding lesion
  • Place a suture/Dermabond/butterfly after removal
34
Q

Specs for RF for excisional biopsy

A
  • Pin or thin wire tip

* Mode 1 @ ~3-5

35
Q

Indication for RF for xanthelasma

A

• Raised, soft, yellow skin plaques made of cholesterol deposit
– If noted in children

36
Q

Procedure for xanthelasma RF

A
  • Anesthetize lesion and surrounding tissue with local anesthetic
  • Gently sweep over lesion in a tapping motion, starting at borders until the patch is flat
37
Q

Specs for xanthelasma RF

A
  • Pin, ball, or broad tip

* Mode 3 @ ~1-3

3SP: Surgery/Injections (10 decks)

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