01_Atti_73_SCIVAC_ok:Atti_73_SCIVAC
29-05-2012
8:43
Pagina 327
73° Congresso Internazionale Multisala SCIVAC
chance that any suture abrades the cornea. This involves initiating and finishing the continuous suture with a small subconjunctival suture placed on the anterior face of the TE.
anterior face of the third eyelid. The nylon suture is then placed so that it begins and ends in this subconjunctival space. It runs along the ventral orbital rim (lateral to medial is generally easiest) and up, across, and back down the periphery of the gland as a buried suture, and then back to emerge where it began in the conjunctival fornix. The nylon suture is tied using a surgeon’s knot and with sufficient tension to reduce the prolapsed gland. As it is tightened, this acts as a “purse-string” to pull the gland into the ventral fornix. The conjunctiva is closed with 6-0 or 7-0 Vicryl in a simple continuous pattern.
THE KASWAN ANCHORING TECHNIQUE The Kaswan anchoring procedure uses a 2-0 or 3-0 nylon suture to anchor the gland to fascia extending off the ventral orbital rim. Access to the orbital rim is achieved with a small incision in the ventral conjunctival fornix at the base of the
I acknowledge Elsevier for provision of surgical figures used in today’s lecture. They can be found in “Slatter’s Fundamentals of Veterinary Ophthalmology 4th Edition” Ed Maggs, Miller and Ofri.
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