Indications and Techniques of Tarsorrhaphy

Introduction

Tarsorrhaphy is a surgical procedure in ophthalmology used to partially or completely close the eyelids to protect the ocular surface in cases of corneal exposure, lagophthalmos, and severe dry eye syndrome.

Indications for Tarsorrhaphy

• Corneal exposure due to facial nerve palsy
• Persistent epithelial defects
• Severe dry eye disease
• Protection post ocular surgery

Techniques of Tarsorrhaphy

Temporary Tarsorrhaphy

Uses sutures or adhesive materials to bring the eyelids together.

Permanent Tarsorrhaphy

Performed by surgically joining the eyelids through tissue fusion or sutures.

Postoperative Care

• Monitoring for infection or wound healing issues
• Use of lubricating drops to maintain ocular comfort
• Gradual removal of sutures in temporary cases

Complications

• Skin irritation
• Discomfort and cosmetic concerns
• Potential eyelid malposition after reversal

Conclusion

Tarsorrhaphy plays a crucial role in ocular surface protection, especially for patients suffering from corneal exposure disorders. Proper technique selection and postoperative management ensure optimal outcomes.