Laser eyelid bag correction

Treatment of diseases: ophthalmologic myasthenia gravis Indication Laser pocket correction is available for: 1. Younger, usually under 45 years old. 2. The sputum bag is mainly composed of fat bulging, and the skin and orbicularis muscle relaxation is not obvious. 3. No obvious orbital muscle hypertrophy. Contraindications 1, the skin is more pronounced. 2, there are squats in the lower jaw. 3, high blood pressure, diabetes and bleeding disorders. Preoperative preparation 1. Check the general condition, whether there is inflammation or varus in the eye. 2, laboratory blood routine, out, clotting time and prothrombin time. 3, preoperative 1d 0.25% chloramphenicol eye drops eye 4 or 5 times. 4, 20 minutes before surgery 1% tetracaine eye 3 or 4 drops. Surgical procedure 1. Conventional disinfection drape, rinsed with a 0.5% benzalkonium bromide solution conjunctival sac. 2, inferior conjunctival infiltration anesthesia, and then the injection needle points to the inner side of the infraorbital margin, slowly into the underarm fat capsule and then inject local anesthetic. 3. Mark the incision line 0.5 to 1.0 cm long with methylene blue at a distance of 3 to 5 mm from the gingival margin. 4, the palpebral conjunctiva under the dome to place a seesaw pad to protect the eyeball. 5. Open the lower incision line and place wet cotton sheets on both sides to protect the conjunctiva on both sides of the incision. 6. Adjust the laser power and distance. 7, laser cutting open conjunctiva and subconjunctival tissue. 8, mosquito-type forceps blunt peeling to the septum, rouge out. 9. In the middle, middle and outer 3 groups, the intra-orbital fat was removed by laser fractional block. 10, after surgery, use the ophthalmology to lift the conjunctival cutting edge to reduce the septal tissue. 11, a local point 0.25% chloramphenicol eye drops a few drops. 12, postoperative 0.25% chloramphenicol eye drops eye, 4 / d, for 3d, oral antibiotics. complication 1, hematoma. 2, infection. 3, the amount of removing the rouge on both sides is not equal, and the local unevenness.