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[Tarsorrhaphy: applications in a Cornea Service].
Patrick Frensel de Moraes Tzelikis1, Cristiano Menezes Diniz, Marco Antônio Guarino Tanure
1Serviço de Doenças Externas e Catarata, Hospital São Geraldo, Universidade Federal de Minas Gerais. tzelikis@zaz.com.br
Arquivos Brasileiros De Oftalmologia
|April 13, 2005
Summary
Tarsorrhaphy effectively treats nonhealing epithelial defects with an 83.3% success rate. This simple surgical procedure is safe and manages various corneal conditions, including keratopathy and post-keratoplasty defects.
Area of Science:
- Ophthalmology
- Corneal Surgery
Context:
- Tarsorrhaphy is a surgical procedure involving the partial or complete closure of the eyelids.
- It is employed to protect the cornea from exposure and promote healing of epithelial defects.
Purpose:
- To determine the primary reasons for performing tarsorrhaphy in a Corneal Service.
- To assess the success rate and potential complications of tarsorrhaphy.
Summary:
- A retrospective review of 18 patients undergoing tarsorrhaphy identified key indications: persistent epithelial defects post-penetrating keratoplasty (38.8%) and exposure keratopathy (27.8%).
- The procedure achieved complete epithelial healing in 83.3% of cases, with a mean healing time of 53.2 days.
- Complications were infrequent and minor, including premature opening, trichiasis, and pyogenic granuloma.
Impact:
- Tarsorrhaphy demonstrates high efficacy and safety in managing persistent corneal epithelial defects.
- The findings support tarsorrhaphy as a valuable intervention for complex corneal surface diseases.