DR. TANVEER AHMED

Dr.Nilanjan Kaushik Thakur, DR. SAURA KAMAL DUTTA, Dr.Harish Goswami

Abstract

TARSORRHAPHY IS THE TEMPORARY OR PERMANENT SURGICAL FUSION OF UPPER AND LOWER EYELIDS . DEPENDING ON THE POSITION IT CAN BE LATERAL, CENTRAL OR MEDIAN. THE ROLE OF TARSORRHAPHY IN ENHANCING THE HEALING PROCESS OF NON HEALING THINNED OUT CORNEAL ULCER HAS BEEN A TIME TESTED METHOD. MECHANICAL SUPPORT, ENHANCEMENT OF PSEUDOCORNEA FORMATION AND NUTRITION THROUGH PALPEBRAL CONJUNCTIVAL BLOOD VESSELS PLAY A MAJOR ROLE IN THE HEALING PROCESS. 50 EYES WITH NON HEALING THINNED OUT CORNEAL ULCER WHERE TARSORRHAPHY HAS BEEN PERFORMED WAS FOLLOWEED UP REGULARLY OVER 6 MONTHS. IT HAS BEEN SEEN THAT THOSE CORNEAL ULCERS NOT RESPONDING TO TREATMENT FOR LONG AND THINNED OUT WITH A RISK OF PERFORATION HAS SHOWN COMMENDABLE RESPONSE AND NO PERFORATION OR LONG TERM COMPLICATION LIKE PTHISIS BULBI HAS HAPPENED. THERE WAS ALSO SOME SYMPTOMATIC RELIEF FROM PAIN PHOTOPHOBIA ETC. DOCUMENTED SUBJECTIVELY IN SOME OF THE CASES, THUS PROVING TARSORRHAPHY THE GOOD OLD GENTLEMAN PASSING THE TEST OF TIME.