title: A Simple New Technique for Treatment of Tarsal Kink Syndrome.
abstract: Congenital tarsal kink syndrome is a rare type of upper eyelid entropion associated with keratitis due to trichiasis. The authors describe a new technique for treatment of congenital horizontal tarsal kink syndrome by means of absorbable everting sutures via a posterior approach. A neonate was referred to eye clinic with right eye redness and corneal opacity since birth. Clinical examination revealed inversion of the eyelid margin with a horizontal kink in the tarsal plate and corneal ulcer. Surgical treatment resulted in successful correction of upper eyelid malpositioning, rapid resolution of the corneal ulcer with excellent anatomical outcome, visual development and cosmesis, with no evidence of recurrence after 6 years. Absorbable everting sutures via a posterior approach is a simple, minimally invasive, and effective surgical technique for treatment of congenital horizontal tarsal kink syndrome.
authors.affiliation: *Royal Eye Infirmary, Derriford Hospital, Plymouth, United Kingdom; and †Ophthalmology Department, University General Hospital of Alexandroupoli, Alexandroupoli, Greece.
authors.forename: Kaveh
authors.initials: K
authors.lastname: Vahdani
authors.forename: Aristeidis
authors.initials: A
authors.lastname: Konstantinidis
authors.forename: Vladimir Theodor
authors.initials: VT
authors.lastname: Thaller
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D004774:Entropion / Q000150:complications / Q000151:congenital* / Q000601:surgery; D005143:Eyelids / Q000002:abnormalities; D006801:Humans; D007231:Infant, Newborn; D007634:Keratitis / Q000150:complications*; D008297:Male; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D013577:Syndrome; D058457:Trichiasis / Q000150:complications* / Q000175:diagnosis