Removal of Lesion Around the Eyelid

Transcription

1 Removal of Lesion Around the Eyelid Ophthalmic Day Surgical Unit Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: People Centred Positive Our Four Values: Compassion Excellence

2 Your doctor has advised that you have a lesion around your eyelids that needs to be removed. Depending on the nature of the lesion, a local or general anaesthetic may be used. Surgery may be quite simple or quite complicated. If it is simple, the lesion may simply be removed and left to heal, similar to a graze on your knee. At other times ie: a skin tumour, a large defect may be left in your eyelid following removal of the tumour. This defect requires to be filled in with skin and tissue from elsewhere. This may be moved from an adjacent area of your eyelid and/ or it may be taken from the other eyelid, behind your ear or from your neck or inside your upper arm, this is called a skin graft. Your doctor will advise you. Often the surgery is performed in 2 or more stages over 2 or more weeks in order to ensure the tumour has been removed completely. This skin graft and other tissue will be stitched in place and great care must be taken to avoid damaging it. Immediately after the skin graft, the

3 skin will be purple and will take several weeks/ months before it returns to a normal skin colour again. You may have a firm pad put over the eye/skin graft for hours. You may be in some pain. Please take pain killers according to instructions for this pain. After the operation, you will be required to put ointment on the wound and skin graft to keep it moist. You will also be seen regularly in the Out-Patients Department.

4 Possible Complications: You may have swelling and bruising of your eyelids around the site of your operation and also the site from which the skin graft was taken, but this should heal in a few weeks. Occasionally, the skin graft may contract and may cause some traction on your eyelids. Occasionally, the skin graft may have a wrinkled appearance. There is a small risk of graft failure which may need further surgery. The wound/graft can develop Infection which would need to be treated with antibiotics. The colour of the skin graft may not completely blend in with the skin colour around your eyelids and therefore the graft may be evident forever. In case of a tumour, further surgery may be required if it has not been removed completely

5 the first time. Even after a complete removal there is always a small chance of recurrence which may need more surgery. There is always a small risk of scarring, but this generally tends to blend in with the skin creases and slowly fade over time.

6 General Advice and Information The Ophthalmic Surgical Unit is a specialised unit which cares for patients undergoing eye procedures on a day case basis. The Unit cares for women and men. There are separate toilet facilities for women, men and disabled patients. Smoking: The Trust operates a no smoking policy and your co-operation with this is appreciated. Health and Safety Our patients have poor vision. Please consider their safety by co-operating with the following activities :- Try not to obstruct corridors To reduce the risk of injury to you and other patients, please avoid assisting others

7 WHERE IS THE OPHTHALMIC DAY SURGERY UNIT If you are registered disabled and have a blue badge the nearest car park is Woodlands which can be accessed from East Park Drive near the Gastroenterology department. From the car park, you can walk directly into the Unit. If you are not registered disabled / do not have a blue badge : Please park in the multi storey care park. Enter the hospital using the Main Entrance where you will find the retail stores. Turn right up the stairs, escalator or lift. Go straight on down the main corridor. The Ophthalmic Day Unit can be found approximately 200 metres down this corridor.

8 Useful contact details Opthalmic Day Surgical Unit Hospital Switchboard: Patient Relations Department The Patient Relations Department offer impartial advice and deal with any concerns or complaints the Trust receives. You can contact them via: Tel: You can also write to us at: Patient Relations Department, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR Further information is available on our website: References This leaflet is evidence based wherever the appropriate evidence is available, and represents an accumulation of expert opinion and professional interpretation. Details of the references used in writing this leaflet are available on request from: Procedural Document and Leaflet Coordinator Approved by: Date of Publication: Reference No: Author: Review Date: Clinical Improvement Committee 20/04/2015 BFWH75 - PL/319 (v1) Mr Raj 01/04/2018