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This Concept Map, created with IHMC CmapTools, has information related to: Third Eyelid Removal, THIRD EYELID REMOVAL HOW? Pre-Op (mouseover), STEP 4 ???? STEP 5, THIRD EYELID REMOVAL HOW? The conjunctival sac is lavaged with sterile saline, Possible Complications uncommon but can include; (mouse over for solution) Excessive Hemorrhage, The conjunctival sac is lavaged with sterile saline ???? STEP 2, STEP 7 ???? A third clamp is then placed across the base of the “T” cartilage and the remainder of the nictitans excised., Possible Complications uncommon but can include; (mouse over for solution) Incomplete Excision, STEP 5 ???? STEP 6, STEP 1 ???? The conjunctival sac is lavaged with sterile saline, THIRD EYELID REMOVAL ???? Normal Anatomy (mouseover), STEP 6 ???? Scissors or a scalpel blade held in the fingers are used to cut along the clamps, leaving the clamps on the patient., STEP 5 ???? As the nictitans is stretched across the cornea towards the lateral canthus, curved Kelly hemostats are clamped across the folds of normal nictitans conjunctiva dorsal and ventral to the tumor so their tips almost touch each other medially at the base of the “T” cartilage., STEP 3 ???? The nictitans is everted, and the extent of the tumor on the bulbar surface of the nictitans is confirmed., STEP 7 ???? STEP 8, STEP 6 ???? STEP 7, Possible Complications uncommon but can include; (mouse over for solution) Orbital Fat Prolapse, THIRD EYELID REMOVAL WHY? Indications, STEP 4 ???? The surgeon ensures sufficient normal nictitans tissue dorsally and ventrally to allow complete removal., STEP 8 ???? The clamps should remain on the patient for at least 5 minutes, longer if possible. The eye and lids must not be manipulated after the procedure is completed except to remove the clamps., STEP 2 ???? The eye is retropulsed, and the nictitans is grasped with a hemostat on the free margin.