Name of the Procedure:

Repair of Ectropion; Thermocauterization

Summary

Repair of ectropion using thermocauterization is a surgical procedure aimed at correcting the outward turning of the eyelid, typically the lower lid, by using heat to promote tissue tightening and healing.

Purpose

This procedure addresses ectropion, a condition where the eyelid turns outward, exposing the inner eyelid surface. The goal is to restore the normal position of the eyelid, protect the eye, and improve both function and appearance.

Indications

• Chronic eye irritation or redness
• Excessive tearing
• Dry eyes
• Recurrent eye infections or ulcers
• Previous failed treatments of ectropion

Preparation

• Patients may be advised to fast for several hours if general anesthesia is used.
• Preoperative assessment including a detailed medical history and specific tests like a slit-lamp examination.
• Discontinuation of specific medications like blood thinners as advised by the physician.

Procedure Description

1. Anesthesia: Local anesthesia with sedation or general anesthesia is administered.
2. Incision: A small incision along the lower eyelid might be made to allow access to the underlying tissues.
3. Thermocauterization: A special device that generates controlled heat is used to cauterize the tissues, tightening and shortening them to reposition the eyelid.
4. Closure: The incision is closed with fine sutures, if applicable.
5. Dressing: A sterile dressing may be applied to protect the site.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

This procedure is commonly performed in an outpatient surgical center or hospital.

Personnel

• Ophthalmologist or oculoplastic surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection
• Bleeding or hematoma formation
• Scarring
• Asymmetry
• Overcorrection or under-correction
• Temporary or permanent changes in eyelid sensation

Benefits

• Restored normal eyelid position
• Reduced irritation and tearing
• Improved eye protection and visual function
• Enhanced cosmetic appearance Benefits are typically realized within a few weeks as the healing process completes.

Recovery

• Application of antibiotic ointment and wearing of the sterile dressing as directed
• Cold compresses to minimize swelling
• Avoiding strenuous activities and heavy lifting
• Follow-up appointments to monitor healing
• Most patients recover fully in 2 to 4 weeks.

Alternatives

• Non-surgical treatments (e.g., lubricating eye drops, taping of the eyelid)
• Other surgical techniques such as lateral tarsal strip surgery or full-thickness skin grafting
• Pros and cons of alternatives depend on the severity and underlying cause of ectropion.

Patient Experience

• During the procedure, minimal discomfort due to anesthesia
• Post-procedure, mild pain and swelling are common; pain management with prescribed medications
• Temporary blurred vision or tearing; improvements as the healing progresses
• Consistent use of cold compresses and prescribed ointments/liquid medications to aid in recovery.