meibomian cystectomy

When the normal discharge duct of the meibomian gland secretions is blocked, the glandular secretions cannot be discharged normally, and the siltation is caused to cause chronic inflammatory granulomatous changes in the glands and surrounding areas, called chalazion. Both adults and children can develop morbidity, but it is more common in children. The clinical feature is a painless mass that occurs in the tarsal plate. The texture is hard, not red, and has no adhesion to skin tissue. The surface of the conjunctiva in the range corresponding to the mass is congested, and the conjunctiva surface is rough. However, it is difficult for large cysts to resolve on their own, so the treatment of meibomian gland cysts should be used for treatment. Treatment of diseases: meibomian gland cysts Indication Mesenteric cyst: also known as sacral granuloma, is an idiopathic, aseptic, chronic granulomatous inflammation of the meibomian gland. It is a chronic meibomian gland formed on the basis of obstruction of the meibomian gland discharge and secretion retention. Inflammatory granuloma can occur in both children and adults. Contraindications High blood pressure, diabetes, and some bleeding-prone diseases. Preoperative preparation The conjunctival sac was washed with physiological saline containing gentamicin before surgery. Surgical procedure 1. Place the whole layer of the orbital gland in the meibomian gland cyst between the meibomian gland cysts, so that the conjunctival surface of the cyst is located in the annular hole of the cyst, tighten the cyst and turn the cyst to make the conjunctiva of the cyst face up. 2. Make a vertical incision from the apex of the conjunctival surface cyst. The incision can be slightly smaller than the diameter of the cyst. 3. After the incision is completed, the contents of the visco-like cyst may overflow. A small curette is placed into the incision and scraped off along the inner wall of the cyst to scrape out all the granulation tissue. 4. Carefully cut off the wall tissue to avoid recurrence after surgery. The incision is generally not sutured, such as the cyst is too large, the incision is long, and one needle can be sutured. After removing the cyst clip, hemostasis was stopped, and the conjunctival sac was coated with antibiotic eye ointment and covered. complication 1. Place the whole layer of the orbital gland in the meibomian gland cyst between the meibomian gland cysts, so that the conjunctival surface of the cyst is located in the annular hole of the cyst, tighten the cyst and turn the cyst to make the conjunctiva of the cyst face up. 2. Make a vertical incision from the apex of the conjunctival surface cyst. The incision can be slightly smaller than the diameter of the cyst. 3. After the incision is completed, the contents of the visco-like cyst may overflow. A small curette is placed into the incision and scraped off along the inner wall of the cyst to scrape out all the granulation tissue. 4. Carefully cut off the wall tissue to avoid recurrence after surgery. The incision is generally not sutured, such as the cyst is too large, the incision is long, and one needle can be sutured. After removing the cyst clip, hemostasis was stopped, and the conjunctival sac was coated with antibiotic eye ointment and covered.