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A new clamp for bilamellar tarsal rotation for trachomatous trichiasis.

Waddell K - Community Eye Health (2009)

View Article: PubMed Central - HTML - PubMed

Affiliation: Mobile Ophthalmologist, Ruharo Health Centre, PO Box 14, Mbarara, Uganda. Email: Ruharo@bushnet.net.

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Also, after the forceps are taken off, stitches then have to be put in a floppy, bleeding lid... I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons... Only one short piece of stitch and one needle are used for all stitches, as opposed to three double-armed in the WHO method, so it is economic to use absorbable suture and the patient need not return for stitch removal... The end result is a neat operation, likely to be successful (Figure 4)... For very severe cases with total in-turning of all lashes, however, I find this operation is not successful: a Trabut procedure is needed, as other surgeons have also found... The clamp is available from: Collton Hailsham Ltd, Unit 1B, Hankham Hall Cottage, Hankham Hall Road, Westham, Pevensey, West Sussex, BN24 5AH, UK... Tel/Fax: +44 1323 743629... Email: colltonhailsham@btconnect.com The clamp comes with a leaflet describing its correct use... A CD-ROM of the procedure will be available soon... We have found the clamp fits most eyes (even children's), but smaller and larger models are available for the few patients with very contracted or large conjunctival sacs. the author has no commercial interest in the clamp... Suggestions for improvement are welcome.

No MeSH data available.


The clamp in place; a mark at 3 mm shows where to cut
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Figure 3: The clamp in place; a mark at 3 mm shows where to cut

Mentions: I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons. The clamp is shaped to hold the two layers correctly together, with the lid margin lying against a shelf (Figure 1). When inserted correctly, the lid is stable and bloodless. There is a mark at 3 mm from the margin to show exactly where to cut (Figure 2). The cut is made through both layers together, down to the plate guarding the eye.


A new clamp for bilamellar tarsal rotation for trachomatous trichiasis.

Waddell K - Community Eye Health (2009)

The clamp in place; a mark at 3 mm shows where to cut
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2683558&req=5

Figure 3: The clamp in place; a mark at 3 mm shows where to cut
Mentions: I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons. The clamp is shaped to hold the two layers correctly together, with the lid margin lying against a shelf (Figure 1). When inserted correctly, the lid is stable and bloodless. There is a mark at 3 mm from the margin to show exactly where to cut (Figure 2). The cut is made through both layers together, down to the plate guarding the eye.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mobile Ophthalmologist, Ruharo Health Centre, PO Box 14, Mbarara, Uganda. Email: Ruharo@bushnet.net.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Also, after the forceps are taken off, stitches then have to be put in a floppy, bleeding lid... I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons... Only one short piece of stitch and one needle are used for all stitches, as opposed to three double-armed in the WHO method, so it is economic to use absorbable suture and the patient need not return for stitch removal... The end result is a neat operation, likely to be successful (Figure 4)... For very severe cases with total in-turning of all lashes, however, I find this operation is not successful: a Trabut procedure is needed, as other surgeons have also found... The clamp is available from: Collton Hailsham Ltd, Unit 1B, Hankham Hall Cottage, Hankham Hall Road, Westham, Pevensey, West Sussex, BN24 5AH, UK... Tel/Fax: +44 1323 743629... Email: colltonhailsham@btconnect.com The clamp comes with a leaflet describing its correct use... A CD-ROM of the procedure will be available soon... We have found the clamp fits most eyes (even children's), but smaller and larger models are available for the few patients with very contracted or large conjunctival sacs. the author has no commercial interest in the clamp... Suggestions for improvement are welcome.

No MeSH data available.