Tarsal suture tarsorrhaphy: Quick, safe and effective corneal protection

Abstract

ABSTRACTWe promote a simple, reversible temporary tarsorrhaphy technique and describe how to place a 4/0 polypropylene suture, on a round-body needle, into the upper and lower tarsal plate to create a strong suture tarsorrhaphy. This technique has been found to be extremely effective over 20 years’ experience with minimal patient discomfort or complications. The eyelid margin anatomy is not disrupted and maintains its normal architecture and contour following release of the tarsorrhaphy. This temporary suture tarsorrhaphy technique is inexpensive, safe and easy to learn and above all comfortable for the patient. It can be performed in most clinical settings, without the risk of lid margin damage and subsequent lash growth distortion. It is appropriate for both for short- and medium-term eye protection.