Lacrimal Gland Biopsy

This is Richard Allen at the University of lowa. This video demonstrates biopsy and repositioning of the lacrimal gland. A 15 blade is used to make an incision along the eyelid crease, which was previously marked. Dissection is then performed through the orbit muscle to expose the orbital septum. The orbital septum is then open laterally and the preop fat is identified. The lacrimal gland is positioned lateral to the preop fat and is identified. The gland is mobilized and dissected from the preop fat and under underlying lator a neurosis a 15 blaze then used to take a biopsy of the gland. There can often be brisk bleeding from the gland and cautery should be readily available. In this case, there is lacm gland prolapsed, and the gland will be repositioned.

The gland is repositioned by engaging the inferior aspect of the gland with a double arm. Five dash zero Vicryl suture. The needle then engages the periosteum of the superior orbital rim inside the rim, tying the suture results and tucking the gland posterior to the orbital rim. Usually one or two sutures is enough to repossession the gland appropriately. The lid crease incision is then closed with interrupted six dash zero proline sutures. Antibiotic appointment will be placed over the repair and the patient returns in approximately one week for reevaluation.