Name of the Procedure:

Severing of Tarsorrhaphy

Summary

Severing of tarsorrhaphy is a surgical procedure that involves cutting apart the eyelids which have been previously stitched together. This procedure is performed to restore the normal function and appearance of the eyelids.

Purpose

This surgery addresses conditions where the eyelids have been intentionally sewn together to protect the eye, such as after injuries or surgeries. The goal is to reopen the eyelids to allow normal vision and eyelid function once the underlying issue has healed.

Indications

• Resolution of the initial condition that required tarsorrhaphy.
• Improvement in eyelid function and appearance.
• Return of normal vision.

Preparation

• Typically, no special preparation is required.
• Patients might be advised to avoid eating or drinking for a few hours if sedation is used.
• Preoperative assessments to ensure the initial condition has sufficiently healed.

Procedure Description

1. The area around the eyelids is cleaned and sterilized.
2. Local anesthetic is administered to numb the eyelids.
3. The surgeon uses fine surgical instruments to carefully cut and remove the sutures holding the eyelids together.
4. Any necessary adjustments are made to ensure proper eyelid function and appearance.
5. Once the sutures are removed, the area is thoroughly cleaned and checked for proper healing.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually performed in an outpatient clinic or a hospital setting.

Personnel

• Ophthalmic surgeon
• Nurses
• Anesthesiologist (if sedation is required)

Risks and Complications

• Infection
• Bleeding
• Eyelid asymmetry
• Scarring
• Recurrence of the initial issue requiring tarsorrhaphy

Benefits

• Restoration of normal eyelid function.
• Improvement in vision and eye appearance.
• Reversal of previous eyelid sewing.

Recovery

• Patients can typically return home the same day.
• Use of antibiotic ointment or eye drops as prescribed.
• Avoiding strenuous activities that might affect the eyes for a few days.
• Follow-up appointments for monitoring healing.

Alternatives

• Continued observation if tarsorrhaphy is thought to still be beneficial.
• Other surgical interventions depending on the underlying condition.

Patient Experience

During the procedure, patients may feel some discomfort from the anesthetic injection but should not feel pain during the cutting of the sutures. Post-procedure, patients might experience mild irritation or soreness that can be managed with pain medication and prescribed ointments. The eyelids may feel sensitive for a few days post-surgery.