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Eyelid: wedge resection
Introduction
- A V-shaped or four-sided full thickness eyelid wedge is removed to excise eyelid tumor.
- The procedure also shortens the eyelid margin, which is useful in certain cases of entropion (in combination with the Hotz-Celsus procedure).
- Conversion of small colobomas into V-shapes enables direct closure.
Uses
- Excision of eyelid neoplasia, eg squamous cell carcinoma Eyelid and conjunctiva: neoplasia.
- Used in combination with the Hotz-Celsus procedure Eyelid: Hotz-Celsus procedure for entropion to shorten the eyelid in certain cases of feline entropion.
- Ectropion (rare in cats) Eyelid: abnormality.
- Small eyelid colobomas Eyelid: abnormality.
Advantages
- Simple to perform.
- Up to one quarter of eyelid can be removed in most cats.
Disadvantages
- Lesions larger than one quarter of the eyelid margin length will require additional reconstructive techniques.
Alternative techniques
- Rotation flaps.
- Pedicle advancement flaps.
- Lateral canthoplasty.
- Z-flaps.
Time required
Preparation
- Minimal - routine surgical preparation.
Procedure
- Usually fairly quick procedure, but if additional flap techniques are required extra time and skill will be needed.
Decision taking
Criteria for choosing test
- If less than one quarter of eyelid needs to be removed, resection alone is adequate.
- If more than one quarter of eyelid needs to be removed, additional techniques needed.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
Other sources of information
- Gelatt K N & Gelatt J P (2011) Veterinary Ophthalmic Surgery. p 127.
- Petersen-Jones S & Crispin S (2002) BSAVA Manual of Small Animal Ophthalmology. 2nd edn. British Small Animal Veterinary Association. ISBN 0 905214 54 4