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This Concept Map, created with IHMC CmapTools, has information related to: 3RD EYELID REMOVAL, STEP 2 - With the use of forceps/mosquito hemostat, grasp the 3rd eyelid at the free margin (1st clamp) This section will be removed, so there is no risk associated with damage to this section. STEP 3 - Gently pull the 3rd eyelid across the globe. Note that it is very thin ventrally and dorsally, but very thick in the middle due to the presence of the "T" shaped cartilage body, STEP 3 - Gently pull the 3rd eyelid across the globe. Note that it is very thin ventrally and dorsally, but very thick in the middle due to the presence of the "T" shaped cartilage body STEP 4 - Place a mosquito hemostat dorsally and ventrally on the thinner areas (2nd and 3rd clamp). The convex, curved part of the hemostat can be aligned parallel with the convex part of the globe/third eyelid to get as far as possible toward the medial cantus, without clamping cartilage body or eyelid conjunctiva, STEP 8 - At this stage, the 3rd eyelid has been removed, however, the hemostats should be kept clamped for 15 minutes to control bleeding/hemostasis. After this time, ensure there is no bleeding and remove the hemostats gently. *Retrobulbar adipose tissue may prolapse from the medial cantus region and this can be excised with scissors easily. STEP 9 - Suture repair of the excised margins of the 3rd eyelid may be performed but is not necessary as conjunctiva heals adqeuately by second intention. *Suture material being placed near the globe is also risky as it can cause iatrogenic irritation or infection., STEP 7 - Place the 4th clamp at the base of the 3rd eyelid and cut along the hemostat with a scalpel STEP 8 - At this stage, the 3rd eyelid has been removed, however, the hemostats should be kept clamped for 15 minutes to control bleeding/hemostasis. After this time, ensure there is no bleeding and remove the hemostats gently. *Retrobulbar adipose tissue may prolapse from the medial cantus region and this can be excised with scissors easily., STEP 9 - Suture repair of the excised margins of the 3rd eyelid may be performed but is not necessary as conjunctiva heals adqeuately by second intention. *Suture material being placed near the globe is also risky as it can cause iatrogenic irritation or infection. Post operative care, THIRD EYELID REMOVAL INDICATIONS (MO), STEP 1 - Slightly prolapse the 3rd eyelid by retracting the eye STEP 2 - With the use of forceps/mosquito hemostat, grasp the 3rd eyelid at the free margin (1st clamp) This section will be removed, so there is no risk associated with damage to this section., THIRD EYELID REMOVAL STEPS (using 4 clamp method), STEP 4 - Place a mosquito hemostat dorsally and ventrally on the thinner areas (2nd and 3rd clamp). The convex, curved part of the hemostat can be aligned parallel with the convex part of the globe/third eyelid to get as far as possible toward the medial cantus, without clamping cartilage body or eyelid conjunctiva STEP 5 - Using a scalpel blade and holder, elevate the dorsal hemostat (2nd clamp), and carefully hand cut along the hemostat, removing the conjunctiva. Leave the hemostat clamped., STEP 6 - Elevate the ventral hemostat (3rd clamp), and carefully hand cut along the hemostat, removing the conjunctiva. Leave the hemostat clamped. STEP 7 - Place the 4th clamp at the base of the 3rd eyelid and cut along the hemostat with a scalpel, STEP 5 - Using a scalpel blade and holder, elevate the dorsal hemostat (2nd clamp), and carefully hand cut along the hemostat, removing the conjunctiva. Leave the hemostat clamped. STEP 6 - Elevate the ventral hemostat (3rd clamp), and carefully hand cut along the hemostat, removing the conjunctiva. Leave the hemostat clamped., STEPS (using 4 clamp method) STEP 1 - Slightly prolapse the 3rd eyelid by retracting the eye