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Surgical Skills SS7

To assess a patient clinically, in OPD and elsewhere, in particular to:

TITLE	LID SURGERY
Code	SS7
Learning Outcome	Manage patients with lid problems. Understand and recognise the causes of lid mal-position and lash mis-direction and the surgical options available. Manage lid lesions by performing appropriate incision, curettage, biopsy or excision. Recognise when the management requires specialist referral.
Assessment	OSATS1 Portfolio Part 2 FRCOphth
Assessor	Note: OSATS after initial Target Year of Achievement should reflect an increase in complexity of cases
Target Year of Achievement	Year 2 (2 assessments) and 6 assessments during Year 4-7
Related Learning Outcomes
Overview	Understand the anatomy of the eyelids and conditions amenable to surgical correction. Know possible complications of lid surgery. Ensure you know basic tissue-handling/suturing skills and how to improve them. Progress through simple to more-complex lid surgery. Know how to explain options and procedures to the patient. Understand when cryotherapy could be useful. Assess your patients carefully pre and post-op and audit the results. You should be able to perform procedures including correction of simple entropion and ectropion, pentagon excision for lid margin lesions, upper lid blepharoplasty, chalazions and ideally, tarsorraphy. Practise in a supervised simulated environment.
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