Confirm patient condition and necessity of procedure
2
Obtain patient consent
3
Approval: Patient Consent
4
Prepare necessary tools and equipment
5
Sterilise surgical area
6
Apply topical anesthetic
7
Administer local anesthetic injection
8
Make initial incision in lateral canthus
9
Identify lower lid lateral canthal tendon
10
Approval: Identification of Tendon
11
Cut the lateral canthal tendon
12
Identify upper lid lateral canthal tendon
13
Cut the upper lid lateral canthal tendon
14
Evaluate the decompression of the globe
15
Approval: Decompression Evaluation
16
Clean the surgical area
17
Apply antibiotic ointment
18
Apply a sterile dressing to the area
19
Provide postoperative care instructions to the patient
20
Schedule follow-up visit to monitor healing and complications
Confirm patient condition and necessity of procedure
Confirm the patient's condition and the necessity of the lateral canthotomy procedure. Assess the severity of the patient's eye condition and determine if the procedure is required for treatment. Provide a thorough explanation to the patient about the procedure and its potential benefits. Address any concerns or questions the patient may have.
Obtain patient consent
Obtain the patient's consent for the lateral canthotomy procedure. Explain the procedure in detail to the patient, including any potential risks or complications. Answer any questions the patient may have and ensure they fully understand the procedure and its implications. Document the patient's consent for the procedure.
Approval: Patient Consent
Will be submitted for approval:
Obtain patient consent
Will be submitted
Prepare necessary tools and equipment
Gather all the necessary tools and equipment required for the lateral canthotomy procedure. Ensure that all instruments are cleaned and sterilized properly. Verify the availability and working condition of all tools and equipment.
1
Scalpel
2
Forceps
3
Surgical scissors
4
Retractors
5
Needles and sutures
Sterilise surgical area
Sterilize the surgical area where the lateral canthotomy procedure will be performed. Follow the standard sterilization protocols to eliminate any potential sources of infection. Make sure the area is thoroughly cleaned and sanitized before proceeding with the surgical procedure.
1
Wash hands with antiseptic soap
2
Clean surgical area with disinfectant solution
3
Cover surgical area with sterile drapes
Apply topical anesthetic
Apply a topical anesthetic to the patient's eye area to numb the surface and reduce discomfort during the lateral canthotomy procedure. Use a sterile applicator to apply the anesthetic gel or drops carefully. Ensure that the patient's eye area is completely numb before proceeding with the next steps.
Administer local anesthetic injection
Administer a local anesthetic injection to further numb the patient's eye area and ensure minimal pain during the lateral canthotomy procedure. Use sterile techniques and appropriate injection sites for anesthesia administration. Monitor the patient for any adverse reactions or allergies to the local anesthetic.
Make initial incision in lateral canthus
Make an initial incision in the lateral canthus to create a pathway for releasing pressure and decompressing the eye. Use a sterile scalpel or surgical scissors to make a precise and controlled incision. Ensure proper visualization and avoid damage to surrounding structures.
1
Horizontal
2
Vertical
3
Oblique
Identify lower lid lateral canthal tendon
Identify the lower lid lateral canthal tendon during the lateral canthotomy procedure. Use careful and gentle manipulation to locate the tendon. Take special care to avoid excessive tension or damage to the tendon during the identification process.
Approval: Identification of Tendon
Will be submitted for approval:
Identify lower lid lateral canthal tendon
Will be submitted
Cut the lateral canthal tendon
Cut the lower lid lateral canthal tendon during the lateral canthotomy procedure to release pressure and allow for decompression. Use a sterile scalpel or surgical scissors to make a precise and controlled cut. Confirm proper release of tension and decompression of the eye.
Identify upper lid lateral canthal tendon
Identify the upper lid lateral canthal tendon during the lateral canthotomy procedure. Use gentle manipulation and visualization techniques to locate the tendon. Take caution to avoid excessive tension or damage to the tendon during identification.
Cut the upper lid lateral canthal tendon
Cut the upper lid lateral canthal tendon during the lateral canthotomy procedure to release pressure and allow for decompression. Use a sterile scalpel or surgical scissors to make a precise and controlled cut. Verify proper release of tension and decompression of the eye.
Evaluate the decompression of the globe
Evaluate the decompression of the globe after completing the lateral canthotomy procedure. Assess the patient's eye for improved symptoms, reduced pressure, and enhanced circulation. Document any observations or changes in the patient's condition.
1
Improved symptoms
2
Reduced pressure
3
Enhanced circulation
Approval: Decompression Evaluation
Will be submitted for approval:
Evaluate the decompression of the globe
Will be submitted
Clean the surgical area
Thoroughly clean the surgical area after completing the lateral canthotomy procedure. Remove any residual blood, debris, or foreign particles from the site of the incision. Ensure the surgical area is well-cleaned and sanitized to prevent infection or complications.
1
Remove surgical drapes
2
Clean incision area with sterile solution
3
Apply sterile dressing
Apply antibiotic ointment
Apply antibiotic ointment to the incision site after the lateral canthotomy procedure. Gently apply the ointment using a sterile applicator or by carefully squeezing a small amount onto the incision area. Ensure the incision site is well-covered with the ointment.
Apply a sterile dressing to the area
Apply a sterile dressing to the incision area after performing the lateral canthotomy procedure. Place a clean, sterile dressing over the incision site to protect the area and promote healing. Ensure proper adherence and coverage of the dressing.
1
Clean and dry the incision area
2
Place the sterile dressing over the incision
3
Secure the dressing with medical tape
Provide postoperative care instructions to the patient
Provide the patient with postoperative care instructions after the lateral canthotomy procedure. Explain the necessary precautions, activities to avoid, and any medication regimen to be followed. Answer any questions or concerns the patient may have regarding their postoperative care.
Schedule follow-up visit to monitor healing and complications
Schedule a follow-up visit with the patient to monitor the healing process and identify any potential complications after the lateral canthotomy procedure. Determine an appropriate timeframe for the visit and provide the patient with the necessary information for the appointment.
