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The caretaker-reversible Tarsorrhaphy.

Jonathan E Lu1, Tiffany Ho1, Desmond Chin1

  • 1Keck School of Medicine of the University of Southern California, USC Roski Eye Institute, San Pablo Street 1450, Los Angeles, CA, 90033, USA.

International Ophthalmology
|October 1, 2024
PubMed
Summary

A modified reversible tarsorrhaphy using IV tubing and sutures allows temporary eyelid closure for ocular protection. This technique is easily managed by caretakers and patients, facilitating necessary examinations.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Reversible tarsorrhaphy is crucial for ocular protection in various conditions.
  • Existing methods may pose challenges for patient or caretaker management.

Purpose of the Study:

  • To introduce a modified reversible tarsorrhaphy technique.
  • This technique is designed for easy opening and reclosing by patients and caretakers.

Main Methods:

  • A retrospective case series was conducted.
  • The modified technique utilizes intravenous (IV) tubing as bolsters and 4-0 polypropylene suture.
  • Sutures are passed through the eyelid margins and secured with knots on IV tubing for adjustable closure.

Main Results:

  • Thirteen patients (ages 21-95) underwent the procedure for conditions including neurotrophic ulcers and neurogenic palsy.
Keywords:
CorneaOculoplastic surgeryOculoplasticsTarsorrhaphy

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  • Indications included lagophthalmos from burns, keratouveitis, neurogenic palsy, neurotrophic ulcers, and skin cancer.
  • No difficulties were reported in maintaining the tarsorrhaphy by family or healthcare providers.
  • The average duration of the initial tarsorrhaphy was 8 weeks (range 3-19 weeks).
  • Conclusions:

    • The caretaker-reversible tarsorrhaphy serves as an effective temporizing measure.
    • This technique balances the need for ocular protection with accessibility for examination and treatment.
    • It empowers patients and caretakers in managing ocular surface health.