Felis ISSN 2398-2950

Eyelid: wedge resection

Contributor(s): Dennis E Brooks, Paul Evans, Lorna Newman, David L Williams, Natasha Mitchell

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

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.

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

  • Usually very good.
  • In the case of eyelid masses, the resected tissue could be submitted for histopathology, to obtain and accurate diagnosis and assess whether adequate excisional margins were obtained. This is particularly important in cats, as many eyelid masses are neoplastic.

Further Reading

Publications

Refereed papers

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


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