Posterior lamellar tarsorrhaphy in the early treatment of severe eyelid trauma/burns

In patients with lagophthalmos due to eyelid trauma, it is imperative to ensure adequate closure of the eye to protect the ocular surface.Sometimes it is difficult to surgically close eyelids by conventional methods of tarsorrhaphy, such as intermarginal suture tarsorrhaphy, Week's tarsorrhaphy, and tongue-in-groove tarsorrhaphy.We need intact eyelid tissues to perform these procedures and might not be possible in patients with severe lagophthalmos due to lost/ damaged eyelid tissues either due to deficient length of tissues or increased tension at the wound site, which can result in surgical failure. [1]atients with acute presentation of injury with extensive eyelid and periorbital trauma usually have associated tissue loss and ocular surface injury.An attempt to perform defi nitive surgery for eyelid reconstruction using grafts and/ or flaps, as an emergency procedure, is not always feasible or, if done, can result in more damage to the tissues because of high failure rates. [2]Herein, we describe posterior lamellar tarsorrhaphy (PLT), a novel and simple surgical approach that can be performed as an emergency procedure to protect the ocular surface in acute presentation of patients with severe lagophthalmos following extensive trauma/ burns.