[Surgical tactics in surgery of medial ruptures of the eyelids]

Consequences of untreated or inadequately treated medial ruptures of the eyelids occur in 4-4.5% of patients consulted at plastic surgery laboratories. The technique of plastic surgery for medial ruptures of the eyelids with due consideration for the type of injury and the anatomy of the face is described. Restoration of the lacrimal canaliculi continuity is achieved by the intubation with a silk thread No. 0, 1, 2 in combination with microsurgical suturing of the injured canaliculus at the site of rupture. The correct shape of the ocular opening is achieved by fixation of the ruptured medial ligature with a -shape suture with due consideration for the shape and height of the bridge of the nose. Twelve patients were operated on within a year, good cosmetic and functional results were achieved in 11. In one patient the continuity of the lacrimal canaliculi could not be restored because they were smashed along 3/4-4/5 of their length. The described method makes use of available instruments and suture material and is recommended for practical ophthalmology.