Indications and Techniques of Tarsorrhaphy

Definition and Purpose of Tarsorrhaphy

Tarsorrhaphy is a surgical procedure performed to partially or completely fuse the eyelid margins. It is primarily used to protect the cornea from exposure-related damage in conditions where natural eyelid closure is compromised.

Indications for Tarsorrhaphy

• Exposure keratopathy due to facial nerve palsy
• Post-surgical corneal healing assistance
• Neurotrophic keratitis
• Lagophthalmos (incomplete eyelid closure)
• Post-trauma corneal protection

Techniques of Tarsorrhaphy

Temporary Tarsorrhaphy

Utilizes sutures or adhesive materials to bring eyelid margins together for short-term corneal protection.

Permanent Tarsorrhaphy

Involves surgical fusion of the eyelid margins using skin grafting or other surgical modifications for long-term protection.

Central vs. Lateral Tarsorrhaphy

Depending on the area of corneal exposure, tarsorrhaphy may be centralized or performed on the lateral eyelid segments.

Post-Surgical Care and Complications

Proper post-operative care includes regular monitoring for infection, assessment of eyelid function, and patient education on maintaining ocular hygiene.

Conclusion

Tarsorrhaphy plays a crucial role in preventing ocular surface complications and aiding in corneal healing. It remains an essential procedure in ophthalmology for managing various conditions that compromise eyelid closure.