chalazionectomy

Due to the obstruction of the opening of the meibomian gland, the glandular secretions cannot be discharged smoothly, and a localized granulocyst cyst can be formed under the action of chronic inflammation. Curing disease: Indication The sacral granulectomy is applied to: 1. The swelling of the cyst hinders the appearance, and the self-infection does not affect the reclamation. 2. The cyst is ruptured to the conjunctiva surface and has granulation growth. Contraindications Contraindications for abnormal coagulation. Preoperative preparation The eyelids were palpated on the skin surface to determine the location, size, and number of cysts, which were difficult to identify after local anesthesia. For a large number of small sacral granules, the blue purple can be used as a marker after palpation. Turn the eyelids to check for cysts and granulation. Pay attention to the swelling of the ear and submandibular lymph nodes. Surgical procedure 1. Use the meibomian gland cyst to clamp the tumor and flip the eyelid. In the center of the tumor, use the vertical edge of the knife to pick up the conjunctiva. At this time, the frozen yellow-white content can be seen, and the small curette is swollen. Bottom and walls until the wall is scraped. 2. After the larger mass is cut, the two sides of the incision can be clamped with the toothed tweezers, and then the wall of the capsule is separated by the tip or the tip of the cutting edge, and the adhesion to the surrounding is cut off while separating, until the cyst is completely removed. 3. If the cyst has collapsed, and the granules protrude from the conjunctival surface, the protruding granulation can be cut off, cut vertically under the granulation, the conjunctival incision is enlarged, the cyst is scraped according to the previous method and the wall is cleaned. Then use a small cotton swab 2% iodine sputum to apply the bottom of the cyst and the peripheral wall, and then rinse with saline, the incision can be sutured in the conjunctival surface. 4. Remove the meibomian gland cyst clip, use gauze to press the eyelid surgery area for a few minutes, completely stop bleeding, apply antibiotic ointment inside the conjunctival sac, cover the dressing or bandage for 24h.

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