Weber P J, Popp J C, Wulc A E
Department of Ophthalmology, Oculoplastic Orbital and Oncology, University of Nebraska Medical Center.
Ophthalmic Surg. 1991 Nov;22(11):687-91.
We present several refinements in technique that simplify the tarsal strip procedure and enhance its results. Among these refinements are: electrosurgical deepithelialization of conjunctiva and lid margin, use of a V-shaped needle, direct needle passage about the lateral orbital tubercle, and the parallel placement of a buried absorbable suture to unite the upper and lower lid margins and to maintain a long-lasting sharp canthal angle. We have used these maneuvers in 45 patients with few complications; patient acceptance has been high. Also, we have found that using these maneuvers is helpful in teaching the procedure to residents.
