Suture of the upper and lower lid margins—with or without surgical fusion—is an important fundamental ophthalmic technique. It splints the lids and reduces their movement to a minimum, thus aiding the healing process after lid repairs, reconstructions, skin grafting, and similar procedures. It provides an anatomic patch in cases of serious corneal pathology. It is also valuable in protecting the globe after orbital surgery and in all cases where prolonged pressure must be applied.
Under optimal conditions intermarginal sutures may be kept in anywhere from 10 to 20 days before reaction or infection sets in. This provides an adequate period for the healing together of the margins when a tarsorrhaphy has been created or gives valuable aid where lid splinting by suture alone is needed for a relatively short time.
Unfortunately, some intermarginal sutures have a disconcerting way of loosening or pulling out long before their function is fully
FOX SA. A New Tarsorrhaphy Suture. Arch Ophthalmol. 1961;66(6):833–834. doi:10.1001/archopht.1961.00960010835010
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