ISSN 2398-2942      

Eyelid: tarsorrhaphy - temporary

icanis
Contributor(s):

Introduction

  • The upper and lower eyelids are sewn together using one to three horizontal mattress sutures of non-absorbable material.
  • The purpose of a temporary tarrsorrhaphy is to provide protection to the ocular surface by reducing exposure and mechanical abrasion to the cornea.
  • Apposition of the eyelids can be partial (medial, central or lateral) or complete.

Uses

  • Protection of cornea and conjunctiva after certain surgical procedures, including:
    • Orbitotomy.
    • Extensive blepharoplasty.
    • Corneal grafting technique, eg sliding corneo-conjunctival transposition
    • Evisceration and placement of an intraocular prosthesis.
    • Globe proptosis Proptosis / prolapse orbit / globe.
  • To assist healing after a corneal injury Cornea: laceration, perforation :
    • To assist in retention of a soft therapeutic contact lens Contact lens: application.
    • To prevent desiccation of the ocular surface while treating facial nerve paralysis.
    • To protect the cornea from exposure keratitis in the case of exophthalmos.
    • To limit evaporation of tears and allow development in cases of premature eyelid opening.

Advantages

  • Easy to perform.
  • Lasts for one to several weeks, depending on the requirement.
  • Allows for application of topical medication.
  • Allows for some inspection of the cornea, to monitor healing.

Disadvantages

  • Sutures placed too deeply will result in corneal friction and possible corneal ulceration.
  • In the case of a complete tarsorrhaphy, the cornea cannot be monitored during healing.
  • It may decrease the concentrations of medications being delivered to the cornea by physical obstruction, although is superior to a third eyelid flap Third eyelid flap in this regard.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends upon primary ocular problem.

Further Reading

Publications

Refereed papers

Other sources of information

  • Gelatt K N & Gelatt J P (2011)Veterinary Ophthalmic Surgery.Saunders Elsevier. p 96-97

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