46 Tarsorrhaphy (Temporary and Permanent)

Seanna Grob, Emily Charlson, and Jeremiah P. Tao

Summary

This chapter describes both the temporary and permanent options to join the upper and lower eyelids. Tarsorrhaphy may be indicated to protect the ocular surface, forestall eyelid retraction after surgery, or to maintain a conformer or prosthesis. Temporary tarsorrhaphies include different suture techniques, both adjustable and nonadjustable, that can be performed quickly and may be vital for treatment of acute ocular surface exposure. Permanent tarsorrhaphy options include intermarginal adhesions and minor flaps, when long-term management of corneal exposure is necessary. Even after a tarsorrhaphy is placed, continued monitoring is required to ensure appropriate ocular surface protection.

Schlüsselwörter

tarsorrhaphy - temporary tarsorrhaphy - permanent tarsorrhaphy - suture tarsorrhaphy - intermarginal adhesions - Frost suture - tarsoconjunctival onlay flap