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September 1989

Intraoperative Crushed Ice Compresses During Oculoplastic Surgery

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1989;107(9):1275. doi:10.1001/archopht.1989.01070020345001

To the Editor.  —The use of postoperative ice compresses is a mainstay of patient management following oculoplastic surgery. Despite this widely recognized benefit of postoperative ice compresses, little attention has been paid to the use of intraoperative crushed ice. We are strong advocates of intraoperative ice compresses during oculoplastic procedures, many of which require 1.5 to 2 or more hours. We present a simple, economical, and efficient method for the application of intraoperative compresses of crushed ice.

Report of a Case.  —An 82-year-old white man was taken to the operating room for resection of a large basal cell carcinoma of the left lower eyelid. This procedure involved frozen-section monitoring of the surgical margins. Approximately 45 to 50 minutes elapsed while the surgical specimens were being processed. The operative field around the left eye was covered with a sterile bag filled with crushed ice (Figure). The cool, crushed ice compress helped