A tarsorrhaphy is a surgical procedure in which the eyelids are partially sewn together to narrow the opening. The eye needs the lid to protect it, as well as tears and periodic blinking to cleanse it and keep it moist. There are many conditions that impair these functions, which may harm the eye, especially the cornea. Until they can be appropriately managed, a tarsorrhaphy protects the eye.
To treat: -Paralysis or weakness of the eyelids that prevents the eyes from closing or affects blinking, such as Bell’s palsy, a nerve condition that weaken the muscles of one side of the face, including the eyelid. Myasthenia gravis can also cause facial muscle weakness. These can usually be cured. Stroke is another cause of facial weakness that leads to the inability to completely close the eye. -Exophthalmos (eyes bulging out of their sockets) occurs with Graves’ disease of the thyroid and with tumors behind the eyes. -Enophthalmos is a condition in which the eye falls back into the socket, making the eyelid ineffective. -Several eye and corneal diseases cause swelling of the cornea, requiring temporary protection until the condition is resolved. -Sjögren’s syndrome reduces tear flow to the point where it can endanger the cornea. -Dendritic ulcer of the cornea caused by viruses may require the eyelid to be covered during treatment.
It helps the eyelids function normally or close to normal. It reduces dry eyes caused by malfunctioning of the eyelids. It reduces complications leading to other eye disease. It improves the facial and eye appearance.
Carries a few risks
There are actually two normal and simple procedures of tarsorrhaphy: a temporary central tarsorrhaphy and permanent lateral tarsorrhaphy. 1. A temporary central tarsorrhaphy. Doctors usually anaesthetise the central area of the upper and also the lower eyelids. They do this with an injection of a few mm of local anaesthetic. The area is then cleaned with 5% povidone iodine and left there for a few minutes. During this time, doctors prepare two x 2cm bolsters as well as one x 1cm bolster. The sutures are then tied over the bolster (For example, the plastic tubing or else the small cotton wool balls) are placed in order to prevent cutting into skin your surgeon then will pass a double-armed non-absorbable suture for stitching eyes. The same needle is then passed onto the grey line that is the lower lid. It is into the tarsal plate and also out of the skin which is of 2–3 mm that is below the lower eyelid margin. Your doctor then will pass the other needle of the suture right through the upper bolster – or the upper lid. Or the lower lid is also called a lower bolster in the same way as the first needle. In order to separate the closed eyelid, your doctor will pull the smaller bolster down so that the lids will easily open 2. A permanent lateral tarsorrhaphy leaving the central lids open. It allows the patient in order to see and also the eye to be examined. During the procedure; Both the lids of the eye are given anaesthesia. Your doctor then will split the anterior as well as the posterior lamella which is then excised by 1mm. After that, the posterior as well as the anterior lamella is then closed by your doctor.
A proper health checkup of the patient is carried out before the surgical treatment procedure. Post the overall checkup, doctor decides on the type of treatment or tarsorrhaphy type to be performed. The procedure is performed using local anesthesia so no special preparation is necessary.
The doctor will prescribe eye drops or a topical ointment to treat the cornea as well as medication to treat existing medical conditions and prevent infection. You will be instructed to move your eye often so the cornea is covered in tears when the eye rolls under the eyelid. You should avoid rubbing the eye and wearing makeup until your doctor allows it.
Tarsorrhaphy is a surgical procedure that has few possible risks or long-term complications. Complications may include minor eyelid swelling and superficial infection. Occasionally, the surgery can cause short-lived decreases in peripheral vision, which resolve as the inflammation from surgery ceases. The risks of complications can also be significantly reduced by keeping the surgical site scrupulously clean and abstinence from the application of any makeup.
What are the travel recommendations?
Before the Procedure Please plan to stay in Thailand for at least 1 week through the duration of treatment. It is recommended that you stay in a hotel close to the hospital for convenience in traveling to the hospital before and after the procedure. You will undergo a health screening when convenient for you before the procedure as the procedure is done using general anesthesia. You will likely need to fast before the health screening. You will be given detailed instructions by your medical team. After the Procedure The doctor will schedule a follow-up appointment for the day after the procedure. If you have no abnormal symptoms after the procedure you can usually return to your home country. The final decision will depend on your doctor’s recommendation. After the follow-up appointment the day after the procedure you will need to see your doctor 1 month after the procedure, 3 months after the procedure, and 6 months after the procedure. If you cannot return to Thailand for these appointments, please see an ophthalmologist in your home country.
What is the success rate for this procedure?
The result is quite good. It can prevent infection to the cornea from dry eyes
What is the prognosis post-treatment?
Tarsorrhaphies usually last forever. Yet if the lids need to be divided then it can be done by injecting local anaesthetic as well as cutting the sutures. Post-treatment, the surgical procedure will give enough protection to the cornea that is in the open area in order to prevent from paralysis of the iris
What is the recovery like?
Tarsorrhaphy is an outpatient procedure with minimal risk. The recovery period is short and there is little pain involved. It is important to avoid touching or rubbing the eye, as well as wearing makeup, until advised by your doctor. It will also take time to adjust to the limited peripheral vision, which means activities like driving should be avoided until given approval.