Oculoplastic eye surgery
For the treatment of
Oculoplastic Eye Problems
Commissioning position
Ectropion
Surgery for ectropion is commissioned if there is any of the following:
- ocular surface exposure (increased risk of microbial keratitis)
- chronic epiphora or ocular irritation
- recurrent bacterial conjunctivitis
- poor cosmesis.
Entropion
Surgery for entropion is commissioned if there is any of the following:
- chronic ocular irritation
- recurrent bacterial conjunctivitis
- chronic reflex tear hypersecretion
- superficial keratopathy
- risk of ulceration and microbial keratitis
OR
- to allow the patient to undergo another intraocular procedure more safely.
Surgery for Minor Eyelid Lesions (including eyelid papillomas, skin tags, cysts of moll, cysts of zeis)
Surgery is commissioned if the lesion results in:
- recurrent infection OR
- recurrent bleeding OR
- significant impact on vision affecting functionality.
Treatment is not otherwise commissioned for personal preference on cosmetic grounds.
Summary of rationale
Ectropion
The aim of treatment is to prevent corneal damage.
Entropion
The aim of treatment is to prevent corneal damage and/or facilitate another eye procedure if the position of the eyelid would otherwise interfere.
Surgery for Minor Eyelid Lesions
The aim of treatment is to prevent corneal damage and preserve functional vision.
Associated Pathways
Specialties
Places covered by
- East Riding
- Hull
- North East Lincolnshire
- North Lincolnshire
- North Yorkshire
- Vale of York