For GPs
Eyelid Surgery Procedures
Minor Ops treat the following conditions:
Lid lesions:
- Cysts (chalazion, meibomian, simple, moll, sebaceous)
Pre-treat: nil required
- Styes/infected chalazia
Pre-treat: hot compresses, oral antibiotics
- Papillomas, skin tags, seborrheoic keratosis
Pre-treat: nil required
- Lesions that are considered to be suspicious of malignancy will be biopsied.
Patients with confirmed malignancy will be referred, by Minor Ops, to secondary care for definitive excision by Mohs Micrographic Surgery and subsequent oculoplastic reconstruction.
Lid mal-position:
- Simple entropion (without excess lid laxity)
Pre-treat: g. viscotears qds
oc. chloramphenicol nocte
Patients with only mild or moderate lid laxity (<10mm distraction from globe) can have their in-turning lids corrected with everting sutures.
Lash Problems:
- Trichiasis / in-growing lashes
Pre-treat: g. viscotears qds
oc. chloramphenicol nocte
In-growing lashes are treated with electrolysis (contra-indications: pacemakers, cochlear implants).
Patients may require several treatments.
Watering:
- Syringing tear ducts
- Enlarging tear drainage hole (3-snip punctoplasty)
Patients with punctual stenosis and patent lacrimal systems to syringing will be considered for 3-snip punctoplasty.
Patients with confirmed or suspected nasolacrimal duct obstruction will be referred, by Minor Ops, to secondary care for further investigation and possible lacrimal surgery.
