Trick of the trade: I thought of this idea when a projector screen was retracting up into a wall-mounted case in a conference room. This same rotational concept can be applied to a patient’s upper eyelids.
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ACEP News: Vol 29 – No 07 – July 2010Rest the cotton end of the Q-tip on the surface of the upper eyelid just inferior to the bony superior orbital rim. Slowly twirl the Q-tip stem without moving the angle or position of the Q-tip (Figure 1). The texture of the Q-tip cotton tip provides enough traction along the eyelid to “roll” the eyelid out of the way. Often this maneuver is sufficient to allow visualization of the orbit without needing to retract the lower eyelid.
Dr. Lin is a UCSF associate professor of clinical emergency medicine and practices at San Francisco General Hospital. Contact Dr. Lin at Michelle.Lin@emergency.ucsf.edu with comments or suggestions for other “tricks of the trade.”
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