Certified Ophthalmic Medical Technologist (COMT) Practice Exam

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What cautery method can be used to treat spastic senile entropion?

  1. Electrocautery

  2. Diathermy

  3. Ziegler cautery

  4. Thermocautery

The correct answer is: Ziegler cautery

The appropriate method to treat spastic senile entropion is Ziegler cautery. This technique is specifically designed for conditions like entropion, where the eyelid margin is turning inward, which can irritate the cornea and cause discomfort. Ziegler cautery employs a precise heat application that helps to shrink tissue, effectively providing a corrective action for the affected eyelid by tightening the surrounding skin and muscles. This method not only alleviates the immediate symptoms of entropion but can also help to prevent recurrence by modifying the eyelid's position. While other cautery methods, like electrocautery or diathermy, are also used in ocular procedures, Ziegler cautery is particularly suited for the treatment of spastic senile entropion due to its targeted approach and effectiveness in managing the specific condition associated with age-related changes in the eyelid.