This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
THERE ARE several types of massive proptosis which constitute a dangerous threat to the eye. In such cases the cornea is exposed because the lids cannot close over it. This is followed by exposure keratitis, which may terminate in serious loss of vision, or even in loss of the eye. For a mild degree of corneal exposure there are a number of well-known techniques available, such as production of marginal lid adhesions and the Fuchs, Wheeler, and Kuhnt-Szymanowsky tarsorrhaphies. However, in the massive proptosis which may be encountered with some cases of thyrotropic exophthalmos, especially with orbital tumors, these measures may not be sufficient to protect the globe. Even when they are attempted in such cases, the lid sutures give way under the pressure and the cornea is again exposed. The procedure to be described has the great advantage that it produces a firm tarsorrhaphy and secures protection for the
GARTNER S, CHAMLIN M. LID MOBILIZATION AND TARSORRHAPHY FOR MASSIVE PROPTOSIS. AMA Arch Ophthalmol. 1954;52(2):234–239. doi:10.1001/archopht.1954.00920050236006
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: