BCK Patel MD, FRCS
For residents, fellows, plastic surgeons and oculoplastic surgeons
The importance of placing temporary tarsorrhaphy sutures properly
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.
Some of the common indications for a temporary tarsorrhaphy are:
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.
Dr. BCK Patel MD, FRCS