The Ophthalmic Office Procedures Handbook

SECTION 3 Lids, Lashes, and Adnexa

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FIGURE 7-7 A and B , The right lower lid of this patient has an ery thematous, scaly, slightly raised lesion with lash loss. A shave biopsy of the lash line lesion is recommended, and the specimen should be sent to pathology to rule out malignancy. Differential diagnosis in cludes old chalazion with inflammation, seborrheic keratosis, basal cell carcinoma, and squamous cell carcinoma. The loss of lashes makes it more suspicious to be a malignant lesion. The scab will heal over the next 2 weeks. Erythromycin ophthalmic ointment at bedtime for a week usually will prevent any complications due to infection.

Copyright © 2023 Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited. comes in handy. Clamp the lid with the back plate on the palpebral conjunctiva side. Use a blade to cut the lesion up against the metal plate. The specimen is sent to pathology or discarded appropriately.

3. Hemostasis is obtained with the cautery or thermal unit available. Sparing use of the ther mal energy is recommended to reduce notch formation for lid margin lesions. If the chala zion clamp is in place, cauterize them with the protection of the eye with the metal shield back of the clamp. 4. Sutures are not used with shave biopsies.