title: Refinements of the tarsal strip procedure.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Oculoplastic Orbital and Oncology, University of Nebraska Medical Center.
authors.forename: P J
authors.initials: PJ
authors.lastname: Weber
authors.forename: J C
authors.initials: JC
authors.lastname: Popp
authors.forename: A E
authors.initials: AE
authors.lastname: Wulc
mesh_terms: D004483:Ectropion / Q000517:prevention & control; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D009339:Needles; D013536:Suture Techniques