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How to: Photograph the eye
How to: give a subconjunctival injection
How to: place a lavage system
How to: repair a lavage system
How to: remove a lavage kit
How to: remove an embedded lavage system
How to: perform a retrobulbar block
How to: perform a standing enucleation
How to: Sample a corneal lesion
How to remove a lavage kit
Cut lavage tube close to eye (leave 25-50mm).
Apply topical local anaesthetic to the ocular surface (6 applications, 10 secs apart).
Apply ocular lubricant to cornea (e.g. Hyaluronate or carbomer gel).
Clean the external piece of lavage tubing with sterile saline or dilute iodine prior to removal.
Gently push the external piece of the lavage tube towards the eye, walking the tube from finger to finger.
Prolapse 3rd eye lid – lavage kit end can usually be either grasped with forceps or more usually manipulated manually.
Lavage end can very rarely become buried in conjunctiva if left in for several weeks necessitating dissection to remove.
NB De-pigmentation can be seen at the site of tube exit and some lid swelling is not uncommon in the first 24hours post removal.
with thanks to Nelson Rowe from
for this video
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