The repair of the eyelid margin is a commonly used technique in cases of traumatic lacerations or for reconstructions after full-thickness excision. The classic technique and its minor variations rely on the use of three 6-0 silk sutures to approximate the cut ends of the eyelid margin.1 However, this produces a bulky knot, and sutures have to be removed, with the associated risk of wound dehiscence. Despite being a common procedure, there is a paucity of published articles in the literature. We have been pleased with a technique of eyelid margin repair, using a single vertical mattress 7-0 polyglactin 910 suture to align the margin. The use of absorbable sutures avoids the need for removal and gives better cosmesis than the classic 6-0 silk 3-suture technique.
Our technique relies on a single 7-0 polyglactin 910 suture to exactly align the meibomian gland orifices as a vertical mattress suture (Figure
Devoto MH, Kersten RC, Teske SA, Kulwin DR. Simplified Technique for Eyelid Margin Repair. Arch Ophthalmol. 1997;115(4):566-567. doi:10.1001/archopht.1997.01100150568035