Entropion surgery for upper lid, by Daljit Singh, using Fugo blade

Entropion surgery with Fugo blade
Daljit Singh

The lid is everted with a a stout Desmar lid retractor. An incision is made on the Arlt line with 100 micron Fugo blade tip. The incision is deepened gradually, at the same time maintaining the pressure of the retractor. This reduces bleeding and spreads tarsal plate. Once the tarsal plate has been cut throughout the length, 600 micron Fugo blade is used to undermine both sides of the incision. It also stops any bleeding point. A 5 zero absorbable suture is applied from the right to the left side (for right handers). The needle traverses the space under the split tarsal plate on both sides. A key pattern suture is applied. As it is pulled the lid margin turns outwards. After fastening the suture on the left end, the suture is passed subcutaneously to reach the starting point on the right side, where it is tied to the tail end.

Category:

Science & Technology

Tags:

• Entropion
• trichiasis
• Fugo blade

[daljits1]

There is nothing to rinse. Some oozing shall continue while you are applying sutures, which stops in minutes.

[daljits1]

The suture material is 5 zero absorbable polyglactin.

[daljits1]

I remove no tissue, only re-arrange tissues.

Daljit

[khursheeda1]

I dont have a Fugo blade. Is there any reason why I shouldnt use a 15 blade?

[daljits1]

This is what I have been doing for 40 years till I got Fugo blade

Daljit

[givaradiaab]

is that skin and muscle operation?

[daljits1]

The skin and muscle are left untouched, the surgery is on the tarsal plate

Daljit

[SkyrimFan12345]

lol she didn't know was getting herself into :P And did you ever had a patient that didn't like the results?

[SG02JATT]

@daljits1

can entropion lead to blindness?

[Kamitsukai]

Hope you don't mind me asking, but why did you not rinse out before suturing the tarsal plate back together?

[Kamitsukai]

why did you not rinse out before suturing the tarsal plate back together?

[the09conradz]

does that hurt?

[mratulbihade]

where do i get fugo blade

[oooo00oooo]

ignorance is bliss. good thing i didn't see this before my entropion surgery 3 weeks ago or i would have been scared stiff while lying on the table. in my case though a part of my eyelid was removed.