Modified Temporary Eyelid Margin Suture for Correction of Congenital Horizontal Tarsal Kink

A Novel Surgical Technique

Abstract

Purpose: 

Tarsal kink is a rare congenital eyelid anomaly that may lead to corneal opacity and amblyopia secondary to severe entropion. The authors aimed to describe a modified temporary lid margin suture method for tarsal kink correction.

Method: 

In this novel surgical technique, a double-armed 6/0 prolene suture was passed through the upper eyelid and the lower eyelid margins to correct the tarsal kink under topical anesthesia.

Result: 

The authors found that this procedure was very effective and successful for correction of tarsal kink with no incision of the tarsus or eyelid skin, providing a low risk of amblyopia.

Conclusion: 

The modified temporal lid margin suture is a simple, practical, and effective procedure for tarsal kink correction.

In Brief

A novel modif ied surgical technique for correction of congenital horizontal tarsal kink, performed under topical anesthesia, with no incision of the tarsus or eyelid skin and providing a low risk of amblyopia.