Ординатура / Офтальмология / Английские материалы / Basic Principles of Ophthalmic Surgery_Arnold_2006
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principles |
of ophthalmic |
surgery |
Figure 15.1. Telfa is cut to
oroper size to cover a surgical
ncision. (Illustration by MarkM. Miller)
-+ Gauze canbe usedaspart of a largepressuredressingor in place of a dressingaltogether.After someminor oculoplasticsprocedures,icesoakedgauzeis applied directly on the incision site immediately atthe conclusionof surgery.
-+ Eyeshieldscanbe usedwith or without soft dressingsbeneaththem. They are often used without a soft dressingafteruncomplicatedphacoemulsification with topical anesthetic.They aresometimesused at night only to prevent unintentional injury to the operativesite from unconsciousrubbing of it.
-toTapeis availablein many materials,including paper,silk, plastic, and Elastoplast.Papertapeis extremelylightweight and generallycauses lessskin irritation than other types. Silk and plastic tapesare stronger than papertapeand aremore easilytorn into pieceswith squareedges. Elastoplastcanbe usedwhen a large amount of pressureis required to the surgicalsite.
-toSteri-stripsaresometimesusedwith a skin adhesiveand without a dressingfor minor oculoplasticsproceduresto reducewound tension.
basic
basic |
principles |
of ophthalmic |
surgery |
will be difficult andpainful, especiallyin children. Other piecesof tapeare applied in a similar manner,progressivelynasaland temporalto the centerpiece until the entire eyepad is covered(Figure 15.3).A shield that is appropriate
for the patient'seye (left or right) andage(child vs adult) is thenapplied over the patch. A singlepiece of tapeplacedin the sameorientation asthe first piece placedoverthe eyepad is usually sufficient to securethe shield(Figure 15.4).
Figure 15.3. Appearance after all pieces of tape applied to soft dressing.
Figure 15.4. Final appearance of dressing after shield
placement.
