For residents, fellows, plastic surgeons and oculoplastic surgeons

Temporary tarsorrhaphy sutures are often needed at the end of surgical procedures on the orbit, the eyelids, after repair of facial fractures and after reconstruction of eyelids and facial structures. A tarsorrhaphy may be needed when treating or preventing the occurence of chemosis and also when one wants to protect the cornea in the postoperative period.www.patelplasticsurgery.com/blog/what-is-chemosis-what-are-the-causes-of-chemosis-how-do-you-treat-chemosis

In this video, Dr. BCK Patel MD shows the eyelid margin anatomy and show how temporary tarsorrhaphy sutures are placed at the gray line to appose the eyelids. A lateral third suture will close the lateral third, an additional central suture will generally give protection of the whole cornea. Only rarely is a third, medial suture needed.

For physicians and patients

How to manage herpes zoster and its complications, with considerations for COVID-19 and the COVID vaccine. Christine Kanownik

BCK Patel MD, FRCS
For Residents, Fellows, Plastic Surgeons, Oculoplastic Surgeons

Conjunctival chemosis is the collection of fluid under the conjunctiva, resulting in a blister-like swelling of the conjunctiva.

A chalazion is initially a painless mass that develops on the eyelid. It is caused by a blockage of the Meibomian gland. The blocked gland allows the contents (lipogranulomatous material) to expand and will eventually allow the material to spread into the surrounding tissues, causing local inflammation. 

Initially, the chalazia are soft or rubbery but go on to become firm. Inflammation or secondary infection will lead to tenderness of the lesions. Does an initial infection of the Meibomian gland cause a chalazion to develop or is it a blocked Meibomian gland that secondarily becomes inflamed and can become infected? The exact sequence is probably both of the above in different lesions. 

​There are many devices now available which emit light in the blue, red and infrared wavelengths. These devices may be used by medical practitioners but many home-use devices which apply the light at more conservative levels are available.