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Tarsorrhaphy: clinical experience from a cornea practice.
C B Cosar1, E J Cohen, C J Rapuano
1Cornea Service, Wills Eye Hospital, Department of Ophthalmology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Cornea
|October 31, 2001
Summary
Tarsorrhaphy is a highly effective procedure for treating nonhealing epithelial defects, with a 90.9% success rate. This surgical technique offers a safe solution for various ocular surface problems, resulting in minimal complications.
Area of Science:
- Ophthalmology
- Cornea and External Disease
Background:
- Tarsorrhaphy is a surgical procedure involving the partial or complete closure of the eyelids.
- It is employed to protect the ocular surface and promote healing in various ophthalmological conditions.
Purpose of the Study:
- To assess the indications, success rate, and complications of tarsorrhaphy.
- To evaluate the efficacy of tarsorrhaphy in managing persistent epithelial defects and other ocular surface issues.
Main Methods:
- Retrospective chart review of patients who underwent tarsorrhaphy between January 1, 1995, and September 30, 2000.
- Data collected included patient demographics, indications for the procedure, duration of symptoms, healing time, type of tarsorrhaphy, complications, and follow-up duration.
Main Results:
- Seventy-seven patients were included; 70 (90.9%) achieved complete epithelial healing.
- Mean duration of symptoms before surgery was 89.8 days, and mean healing time post-surgery was 18.0 days (p=0.01).
- Complications were infrequent and minor, including trichiasis and eyelid adhesions.
Conclusions:
- Tarsorrhaphy demonstrates high effectiveness (90.9% success rate) in managing nonhealing epithelial defects and ocular surface problems.
- The procedure is considered safe with a low incidence of minor complications.