Tarsorrhaphy is a procedure that partially sews the eyelids together to narrow the opening, protecting the eye surface when blinking or closure is not enough to keep it safe.
Why tarsorrhaphy is needed
Conditions such as facial nerve palsy, severe dry eye, or exposure after surgery can leave the cornea uncovered, leading to pain, dryness, and risk of ulceration.
Tarsorrhaphy reduces the exposed area so the remaining surface stays moist and better shielded.
- Often considered when lubrication, moisture goggles, and taping are not sufficient
- Can be temporary, using removable sutures, or more permanent if long term protection is required
- May be combined with other procedures such as gold weight implantation
- Helps relieve soreness and improve comfort in vulnerable eyes
What happens during and after the procedure
Under local anaesthetic, the surgeon brings together a small section of the upper and lower lids, usually at the outer or inner corner, and joins them with fine stitches.
The central part of the eye remains open so you can still see, though the field is smaller.
- Mild bruising and tenderness are common and settle over several days
- Lubricating drops and ointment continue to support the cornea while it heals
- If a temporary tarsorrhaphy is used, stitches can be released once the underlying problem improves
- Report any increasing pain, discharge, or sudden drop in vision promptly
