Tarsorrhaphy: Eyelid Suturing for Corneal Protection
Definition
Tarsorrhaphy is surgical suturing of the upper and lower eyelid margins together, partially or completely, to protect the cornea.
Indications
- Facial nerve palsy (Bell's palsy, tumor resection) → lagophthalmos (incomplete closure).
- Neurotrophic keratitis (corneal anesthesia).
- Severe dry eye, exposure keratopathy.
- Corneal ulcers/perforations needing protection.
Types
- Temporary: Sutures or cyanoacrylate glue; reversible.
- Permanent: Tissue raw edges sutured; for long-term paralysis.
- Lateral / Central / Total: Extent of lid fusion.
Outcomes
Effective corneal protection; cosmetic concerns with permanent central tarsorrhaphy. Reversal possible once corneal health restored.
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