49 Paresis of upper eyelid orbicularis with lagophthalmos. See Chapter 3. 1. If possible, discontinue aspirin and nonsteroidal anti-inflammatory agents for 10 days before surgery. Discontinue warfarin 2–3 days preoperatively, if medically possible. 2. Query patient about bleeding tendencies. A useful screening question is asking if the patient had unusual bleeding after dental extraction. Obtain hematological evaluation if bleeding tendency is suspected. Scleral shell Needle holder Sutures (6–0 polypropylene) Toothed forceps Scissors (e.g., Westcott) Cautery Scalpel (e.g., 15 degree blade) Gold weight of selected size Skin retractor (e.g., Blair).
Gold Weight Placement
Indications
Preoperative Proceedure
Instrumentation
Operative Procedure