Equis ISSN 2398-2977

Third eyelid: excision

Contributor(s): Paul E Miller, Graham Munroe

Introduction

  • The third eyelid or nictitans is the most common site of ocular squamous cell carcinoma   Eye: squamous cell carcinoma  in the horse especially in those lacking pigment    Third eyelid: SCC 02      Third eyelid: SCC 03  .
  • Excision of part or all of the third eyelid - can be a very effective method of treatment of ocular squamous cell carcinoma involving this structure.

Uses

  • Local excision of mass on third eyelid edge   Eye: squamous cell carcinoma  .
  • Removal of entire third eyelid due to extensive neoplasia.
  • Removal of entire third eyelid due to severe distortion of lid post-trauma.

Advantages

Limited excision
  • Simpler to perform.
  • Maintains presence of third eyelid and its function.
  • Improved cosmesis.

Complete excision

  • Complete removal of neoplasia.

Disadvantages

Limited excision
  • Incomplete removal of neoplasm.

Complete excision

  • More difficult to perform.
  • Removes function of third eyelid.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends upon reason for surgery and extent/type of neoplasia.
  • Generally good if operate early.

Further Reading

Publications

Refereed papers


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