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Cornea. 1999 May;18(3):299-301.

Lateral tarsorrhaphy: is it preferable to patching?

Author information

Cornea Service, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.



To evaluate the effectiveness of lateral tarsorrhaphy for the management of postkeratoplasty epithelial defects.


Thirty-six patients with persistent postkeratoplasty epithelial defects that did not heal despite topical medical therapy for a period of 96 hours were treated with either a lateral tarsorrhaphy (18 patients) or with tight patching (18 patients). All patients were evaluated daily by slit-lamp examination until complete reepithelialization occurred.


The epithelial healing was significantly faster (7.61+/-0.91 days vs. 12.6+/-1.61 days, p<0.5) in the lateral tarsorrhaphy group. Further, the patients with lateral tarsorrhaphies were significantly more comfortable when compared with those of the patching group (p<0.05).


Lateral tarsorrhaphy provides quick symptomatic relief and faster corneal epithelial defect healing. Therefore, it may be of benefit in cases of postkeratoplasty persistent epithelial defects.

[Indexed for MEDLINE]

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