The goal of lateral tarsorrhaphy
The purpose of lateral tarsorrhaphy is to protect the cornea. It also reduces symptoms such as excessive tearing or pain.
Different types of tarsorrhaphy
To partially close the eyes, the procedure involves attaching the lower and upper lids to the lateral portions. This can be temporary or permanent.
Permaent tarsorrhaphy is the most common Craigslist San Antonio tarsorrhaphy for paralyzed eyelids. This even though patients often feel unhappy because of both lateral vision obstruction and their cosmetic appearance.
You can find more information about temporary tarsorrhaphy in the midface section, AO Surgery Reference.
This procedure can also be done medially to reduce medial effortion.
The procedure can be done under general or local anesthesia.
The incision is made at the lateral 1/4- 1/3 of the upper and/or lower eyelids, avoiding the lateral limbus.
The posterior and anterior lamellas are split along the grey line, to a depth between 3-5 mm.
To reduce the chance of dehiscence, a small portion of epithelium at the margin of the lid can be removed.
A resorbable suture is used to join the posterior lamella and anterior lamella of the upper and lower eyes.
To prevent corneal irritation, the posterior lamella sutures must be inverted (buried).
You should take care not to damage your eyelashes, as this procedure can often be reversed after eyelid surgery.
Lubrication It is vital to keep the eye lubricated and protected.
Natural tear substitutes are used during the day, and ointment-based lubricants are used during sleep. Sometimes, this is combined with tapping the eyelid shut.
Depending on the occupation and environment, eyewear may be required to provide protection.