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How to remove a lavage system which has “grown in “?

  • Palpate the sub-conjunctival foot plate to locate it.

  • Inject subconjunctival local anaesthetic over the foot plate after first anaesthetising this site with a topical local soaked sterile cotton bud.

  • Inject local anaesthetic around the exit point of the lavage tube taking care not to lacerate the tube with the needle.

  • Cannulate the short cut end of the lavage tube using the blunt ended cannula supplied with the kit.

  • Prolapse the third eye lid to protect the cornea prior to attempting to push the foot plate against its conjunctival covering.

  • In many cases the buried foot plate can be visualised and a small conjunctival incision made using the tip of a guarded 18g needle or small conjunctival scissors to allow removal.

  • Blind dissection can be performed with care using an 18g needle guarded by a gloved finger.

  • Should conjunctival dissection not be possible a small cutaneous incision can be made adjacent to the tubes exit point to facilitate removal.

  • Systemic antibiotics and NSAIDs should be given if surgical removal is required.

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