Lateral Canthotomy Procedure Instructions and Supply Checklist Equipment - Anesthetic - Syringe with 27 gauge needle - Iris scissors (from suture removal kit) - Hemostat 1) Anesthetize - Inject anesthetic into the lateral canthus. 2) Clamp - Clamp the lateral canthus with a hemostat for 1 minute to devascularize. 3) Canthotomy - Cut the lateral canthus laterally about 1-2 cm. 4) Identify the Canthal Ligament With iris scissors pointed perpendicular to the patient just inside the orbital rim, identify the inferior crus of the canthal ligament. 5) Cantholysis - Cut the inferior crus. 6) Recheck Pressure Recheck pressure and only if still elevated, Cut the superior crus. Confirm IOP < 40 mmHg. #Lateral #Canthotomy #Procedure #Instructions #Ophthalmology #Supplies #Checklist
