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Related Experiment Videos

The tarsal strip procedure.

R L Anderson, D D Gordy

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    This new surgical technique tightens eyelids by using lateral tarsal strips to correct laxity and malposition of the lateral canthal tendon, improving eyelid function and appearance.

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    Area of Science:

    • Ophthalmology
    • Plastic Surgery
    • Reconstructive Surgery

    Background:

    • Eyelid laxity, particularly involving the lateral canthal tendon, is a common issue leading to functional and aesthetic problems.
    • Traditional lid-shortening procedures often result in recurrence due to inadequate addressing of tendon elongation.

    Observation:

    • The developed procedure targets paralytic or senile eyelid laxity, lateral canthal tendon issues, and iatrogenic phimosis.
    • Recurrence in traditional methods is linked to the midtarsal portion, which is rarely elongated, and further stretching of lax tendons.

    Findings:

    • The technique involves lateral canthotomy, transection of the lateral canthal tendon crus, and creation of tarsal strips from the posterior lamella.
    • These tarsal strips are secured to the periosteum of the lateral orbital wall, allowing precise adjustment of canthal height and tension.

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  • This method effectively corrects lateral canthal tendon laxity and malposition, restoring normal lateral canthal angle appearance.

    • Implications:

    • This procedure offers a reliable solution for various eyelid laxity conditions, including those secondary to prior surgeries.
    • It addresses the root cause of recurrence by focusing on tendon elongation, potentially leading to more durable outcomes.
    • The technique has demonstrated success in 51 cases, suggesting its clinical utility and effectiveness in ophthalmic plastic surgery.