Following surgery, your Advanced Eye Center ophthalmologist may prescribe antibiotic ointment and will instruct you to avoid heavy bending, lifting, Miray Bartamian, MD, Dale R. How Does Ectropion Repair Surgery Work The surgery is done in a surgery center with IV sedation or in the office with local anesthesia. Ectropion can oftentimes be repaired by simply tightening the lower eyelid.
![]() ![]() For the178 questionnaires returned, the distribution was 77(43%) eastern states, 55 (31 %) midwestern states, and 46(26%) western states. Demographically, the regional distribution among the 320 questionnaires sent (i.e., ASOPRSMembership) was 157 (49%) eastern states, 89 (28%)Midwestern states, and 74 (23%) western states. Statistical analysis included chi-square tests and zTests of proportions. DemographicDistribution of respondents was determined by return postmark and divided into three regions: east, midwest, andWest. Six general groupingsWere noted for site of service among the responses forThe 15 procedures in terms of utilization.Group 1: Chalazion incision and drainage I and D wasPerformed almost exclusively in the office(90% of the time) and incisional biopsy wasGroup 2: Probing had a 56% hospital out-patient rate,Group 3: Ptosis (levator/muellerectomy) had a 52%Hospital out-patient rate, a 34% ASC rate,This procedure in the hospital on an inpatientBasis the majority of the time. The results of the 1987ASOPRS survey (inpatient percent) are included for thoseThe site of service options included hospital inpatient,Hospital out-patient, ASC, or office. We also comparedThe site of service results of our 1995 survey with a 1987ASOPRS admitting practice survey (unpublished data,Garber PF et al presented at the 1987 ASOPRS AnnualThe results of the current survey for site of service preferences and significance of regional variation for each procedure are shown in Table 1. For example, 19 (51 %) of 37 physicians in the west reported performing blepharoplasty inThe office setting, whereas only 10 (16%) of 62 physiciansDid so in the east (P < 0.001). A subgroup analysis (z test of proportions) showedThat physicians in western states tended to perform moreOffice-based surgery. Blowout fracture repair wasGroup 6: Lateral orbitotomy had a 64% hospital inpatient rate and a 29% hospital out-patient rate.Certain regional differences were noted for site of service for several oculoplastic surgeries, as shown in Table1. Silicone intubation, DCR, andAnterior orbitotomy had similar profiles.Group 5: Enucleation had a 34% hospital inpatientRate, a 55% hospital out-patient rate, and an11 % ASC rate. Making crack with levamisole hydrochlorideFive general groups were noted amongGroup 1: Chalazion had a 3% MAC rate and a 97%Local anesthesia rate. Table2 shows the responses to the 1995 survey regarding anesthesia preferences. For ectropion repair, the number ofPhysicians performing office surgery were 10 (31 %) of31 in the west and 2 (4%) of 49 in the east (P < 0.001).The options for anesthesia included general anesthesia,Local with sedation (MAC), or local anesthesia only.
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