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The department carries out a number of procedures and minor operations on the eyelid. If you are undergoing one of these operations you'll be admitted as a day case patient. When you are admitted to the unit a nurse will ask questions about your health and undergo a visual test. In some cases your blood pressure will be recorded. You will wear your own clothes in theatre.
Your nurse will take you to theatre and after the operation is completed, will bring you back to the Ophthalmic Day Case Unit. After short period of rest and some refreshment (which usually lasts around half an hour), a nurse will discharge you with instructions of what to do at home. If necessary, an appointment to be seen again in the eye clinic will be given.
The procedures carried out in the Day Case Unit include:
When the upper eyelid has been diagnosed as drooping this is known as Ptosis. Generally, this can be rectified by surgery performed under local anaesthetic as a day case patient.
An incision is made in the skin of the upper eyelid. The muscle under the skin is identified and 'hitched-up' and reattached to the eyelid, elevating the eyelid to its correct position. During the surgery you will still be able to move your eye and eyelid. You'll be asked to look up and down to help the surgeon position your eyelid correctly.
After the operation you will have some stitches in the skin, but these should dissolve on their own. You will be required to put ointment in your eye and on the scar. The scar will disappear and blend in with any skin creases/folds already present in your eyelid.
Your eyelids can start to drop when excess skin and fat are present. The surgical treatment for this - blepharoplasty - is designed to remove the excess skin and fat. This usually happens under local anaesthetic as a day case patient with the operation taking up to one hour or more. After the operation you will have stitches in your eyelid that may dissolve on their own or require removing after two or three weeks. Your doctor will advise you about this.
Entropian is when the eyelid is turned in towards the eyeball. Ectropian is when the eyelid is turned outwards. An operation is required to position the eyelid to its normal position. You will be given a local anaesthetic and a small cut is made. Any scar from the operation usually blends into your normal skin creases.
A lesion is the medical term given to tissue that is damaged either through illness or injury. If it is a simple lesion it may be removed under local anaesthetic and left to heal, similar to a graze on the knee.
A more complicated lesion may require surgery such as a skin graft. The graft will be stitched in place and you must be very careful not to aggravate it. Immediately after the skin graft the skin will be purple and will take several months to heal.
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