Rapoza P A, Harrison D A, Bussa J J, Prestowitz W F, Dortzbach R K
Department of Ophthalmology, University of Wisconsin-Madison.
Ophthalmic Surg. 1993 May;24(5):328-30.
Temporary closure of the eyelids is frequently recommended for ocular surface disorders in which reepithelialization of the cornea is problematic, as well as for acute Bell's palsy. We describe an easily performed technique of temporary tarsorrhaphy using plastic tubes sutured externally to the upper and lower eyelids, with eyelid closure accomplished by tightening a loop of suture passed through the two tubes. Corneal epithelial defects in 11 of 13 patients in whom we used this technique resolved satisfactorily without complications. In the remaining two, the polypropylene sutures eroded through the eyelids between 5 and 6 weeks after surgery. The sutured tubes loosened and the loosened sutures had to be replaced. In one patient, the overly long end of a suture rotated between the apposed eyelids, inducing a corneal abrasion, but no permanent damage to the eye. We conclude that the sutured tube-tarsorrhaphy provides excellent short-term closure of the eyelids, while allowing simple, painless opening for examining the globe. The risks of inflammation and infection associated with previously described techniques are minimized.
对于角膜再上皮化存在问题的眼表疾病以及急性贝尔麻痹，常建议临时闭合眼睑。我们描述了一种易于实施的临时睑裂缝合技术，即使用塑料管外部缝合于上下眼睑，通过收紧穿过两根管子的缝线环来实现眼睑闭合。我们采用该技术的13例患者中，11例患者的角膜上皮缺损得到满意解决，且无并发症。其余2例患者，聚丙烯缝线在术后5至6周之间穿透眼睑。缝合的管子松动，必须更换松动的缝线。1例患者，缝线过长的末端在对合的眼睑间旋转，导致角膜擦伤，但未对眼睛造成永久性损伤。我们得出结论，缝合管睑裂缝合术能实现眼睑出色的短期闭合，同时允许简单、无痛地打开眼睑以检查眼球。与先前描述技术相关的炎症和感染风险降至最低。
