July 1965

A Simple Operation for Lateral Tarsorrhaphy

Author Affiliations

Brooklyn, NY
Physician-in-Charge, Ophthalmic Plastic Surgery Service, Brooklyn Eye and Ear Hospital.

Arch Ophthalmol. 1965;74(1):74-76. doi:10.1001/archopht.1965.00970040076018

The purpose of lateral tarsorrhaphy (canthorrhaphy, canthoplasty) is to effect partial closure of the palpebral fissure. This may be necessary in lagophthalmos, facial nerve palsy, exophthalmos, or to improve the appearance of a rounded lateral canthus. Many techniques are available.1 That of Fuchs typifies the surgery involved and perhaps is the most widely used approach. A method of utilizing the figure-of-eight suture for lateral tarsorrhaphy occurred to me several years ago. Minsky2 originally described this suture for repair of through-and-through lacerations of the lid. The method is popular and has been adapted to other situations.3 It is an effective technique because it coapts two tissues precisely and splints them in position during the healing period. Simplicity makes this suture even more attractive.

Since the method was easy and the results desirable I felt that others might be interested in the technique as applied to lateral tarsorrhaphy.


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