Radiofrequency3: Add'l Procedures Flashcards
Trichiasis
- indication
- procedure
- specs
Bothersome lashes w/ corneal discomfort/staining/scarring
Anesthetize LL at margin with topical or local
Grab lash with forceps
Place needle beside lash shaft into the follicle until it can’t go further
Tap foot pedal and immediately let off
Gently pull lash
-smoothly comes out = finished
-if not, repeat
Micro-insulated needle tip
Mode 3 at 1-2
Telangiectasia
- indication
- procedure
- specs
Cosmetically bothersome/irritating
Anesthetize skin with topical transdermal anesthetic cream
With very light pressure, gently touch center of telangiectasia
Tap foot pedal and immediately let off
Micro-insulated needle tip
Mode 3 at 1-3
Hemangioma
- indication
- procedure
- specs
Elevated, blood-filled anastomosis of vessels
Anesthetize lesion and surr tissue with local
With very light pressure, gently touch center of hemangioma
Tap foot pedal and immediately let off
-lesion should get dark if done correctly
Broad base needle, ball, pin tip
Mode 3 at 1-3
Molluscum contagiosum
- indication
- procedure
- specs
Single/multiple pearly white umbilicated central keratin plug lesions
Anesthetize lesion with topical or local
Place electrode within center of lesion
Tap foot pedal and immediately let off
Ball tip
Mode 3 at 1-3
Syringoma
- indication
- procedure
- specs
Benign eccrine sweat duct neoplasm
Common on LL, esp females after puberty
Anesthetize lesion with local
Place electrode within center of lesion
Tap foot pedal and immediately let off
Pin tip
Mode 3 at 1-3
Punctoplasty
- indication
- procedure
- specs
Punctal stenosis with symptomatic epiphora
Anesthetize lower puntal area with local
Place electrode at edge of punctum and made a small sweeping motion to enlarge opening
-careful not to go too deep and puncture canaliculi
Micro-insulated needle tip
Mode 3 at 1-3
Punctal ectropion
- indication
- procedure
- specs
Poor punctal apposition with symptomatic epiphora
Open punctum
Anesthetize lower punctal area with local
Place BIPOLAR forceps PARALLEL with punctum at the bottom of tarsus directly below punctum
Tap foot pedal and immediately let off
-do several times (check apposition after each delivery)
-shortens posterior lamellae of lid, forces inversion of everted puncta
Bipolar forceps
Mode 3 at 1-3
Punctal occlusion
- indication
- procedure
- specs
Dry eye syndrome/ocular surface dz
Medical mx and reversible punctal occlusive therapy have failed
Anesthetize lower punctal area with topical or local
Place electrode within punctum
Tap foot pedal and immediately let off
-this creates mucosal scarring and closure
Broad base needle tip
Mode 3 at 1-3
Conjunctivochalasis
- indication
- procedure
- specs
Redundant conj with symptomatic FBS
Anesthetize conj with several drops of tetracaine
Retract lower lid
Place redundant conj within forceps parallel to lid margin
Activate electrode and gently tap conj b/w forceps until it becomes cloudy
Broad base needle tip
Mode 3 at 1-3
Chalazion incision
- indication
- procedure
- specs
Chalazion
Anesthetize chalazion with local
Champ chalazion and incise with wire tip as if it were a scalpel
Thin wire tip
MODE 1 or 2 at 3-5
Excisional biopsy
- indication
- procedure
- specs
Need to remove lesion with complete borders
Anesthetize lesion and surr tissue with local
Cut an elliptical in/excision surr lesion
Place a suture/dermabond/butterfly after removal
Pin or thin wire tip
MODE 1 at 3-5
Xanthalasma
- indication
- procedure
- specs
Raised, soft, yellow skin plaques made of cholesterol deposits
Anesthetize lesion and surr tissue with local
Gently sweep over lesion in tapping motion, starting at borders until the patch is flat
Pin, ball, or broad tip
Mode 3 at 1-3
