Home > Encyclopedia of Surgery > Tarsorrhaphy

Definition

Tarsorrhaphy is a rare procedure in which the eyelids are partially sewn together to narrow the opening.

Purpose

The eye needs the lid for protection. It also needs tears and periodic blinking to cleanse it and keep it moist. There are many conditions that impair these functions and threaten the eye, specifically the cornea, with drying. Sewing the eyelids partially together helps protect the eye until the underlying condition can be corrected.

A partial list of the conditions that can require tarsorrhaphy includes:

• Paralysis or weakness of the eyelids so that they cannot close or blink adequately. Bell's palsy is a nerve condition that weakens the muscles of the face, including the eyelids. It is usually temporary. Myasthenia gravis also weakens facial...