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Do You Wear a Patch over Your Eye After Mohs of the Lower Eyelid?

asked 5 months ago by lisalu3232 in Temecula, CA
Latest answer by Perry F. Garber, MD
Question viewed 129 times
Tags: aftercare, expectation, timing

I have to have Mohs surgery of my lower eye lid for BCC. I want to know when I might be able to return to work as an Ultrasound tech after this surgery?

6 answers to Do You Wear a Patch over Your Eye After Mohs of the Lower Eyelid?

+2

Do You Wear a Patch over Your Eye After Mohs of the Lower Eyelid?

This question is best answered by your surgeon who will perform the operation. I personally do not patch my patients. However, a lot will depend on how big the cancer is and how much reconstruction is needed. Besides the patch, there other factors that your surgeon should go over with you regarding work.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon
+2

Do You Wear a Patch over Your Eye After Mohs of the Lower Eyelid?

You should discuss this with your Moh's surgeon. Moh's is a tissue spearing resection for skin cancers but until the resection is completed with clear margins, there's no way to estimate the amount of tissue taken.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

You should have your care coordinated with an oculoplastic surgeon.

Typically eyelid defects created following Mohs cancer surgery are closed immediately or the next day. Very small defect can be allowed to heal on their own. However, when the defect involves the eyelid margin, or the tear sac area, or larger portions of the eyelid, the Mohs surgeon will generally arrange for the closure (reconstruction) to be performed by an oculoplastic surgeon. It is ideal if you can meet the oculoplastic surgeon before hand and know what the plan will... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+2

Return to work after Moh's surgery

This is entirely dependent on the extent of the resection which is not predictable and of course the reconstruction which may be simple and only require a primary closure or complex with loco regional flaps. This question can only be answered by your surgeons after the resection and reconstruction are completed.
Edwin Ishoo, MD

Boston Facial Plastic Surgeon
+1

Lid tumor

A patch is usually placed on the eye to protect it until the defect can be repaired which is usually within about 24 hours.
Perry F. Garber, MD

New York Oculoplastic Surgeon
+1

When can I return to work after Mohs surgery?

I agree with others who responded. So much will depend on the size of the cancer and the resulting defect (after the cancer is removed). For large cancers that require a skin graft, a pressure bolster is sometimes used to promote the "take" of the graft. While this may be inconvenient regarding your work schedule, the long term cosmetic result will be better than if vascular supply to the graft is compromised. For smaller cancers, this is not really a... more
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

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