Role of tarsorrhaphy in healing of persistent epithelial defects in today’s era

Authors : Dawar Shuja, Jagriti Rana, Kshama Dwivedi, Mahak Garg

DOI : 10.18231/j.ijooo.2020.043

Volume : 6

Issue : 3

Year : 2020

Page No : 192-195

Introduction: Tarsorrhaphy has always been advised for management of persistent epithelial defects, but it is losing it’s importance in present era.
Materials and Methods: It was a prospective interventional study. Twenty-one patients of persistent epithelial defects presented over a period of two years at a tertiary hospital. They underwent tarsorrhaphy, along with medical management. All patients were followed up for a minimum period of two months.
Observation: Eighty-five percent of patients with PED resolved with tarsorrhaphy alone. Rest three patients which failed to heal, underwent amniotic membrane transplantation at 4th week as add-on procedure, following which they resolved.
Discussion: Tarsorrhaphy helps in healing of PED by decreasing the interpalpebral fissure and retaining the tears and medicines in cul-de-sac. It also decreases the windshield wiper effect of eyelid margins.
Conclusion: Tarsorrhaphy should always be considered as first modality for treating the PED.

Keywords: Tarsorrhaphy, Persistent epithelial defects (PED).


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