June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Add-On Bolster Element for Temporary Tarsorrhaphy Augmentation
Author Affiliations & Notes
  • Maliya Delawan
    College of Medicine, Gulf Medical University, Ajman, Ajman, United Arab Emirates
  • Shaikha Hamad Aljneibi
    Cleveland Clinic Abu Dhabi, Abu Dhabi, Abu Dhabi, United Arab Emirates
  • Emma Adami
    Cleveland Clinic Abu Dhabi, Abu Dhabi, Abu Dhabi, United Arab Emirates
  • Nora ElShammah
    Cleveland Clinic Abu Dhabi, Abu Dhabi, Abu Dhabi, United Arab Emirates
  • Rony R Sayegh
    Cleveland Clinic Cole Eye Institute, Cleveland, Ohio, United States
  • Footnotes
    Commercial Relationships   Maliya Delawan None; Shaikha Aljneibi None; Emma Adami None; Nora ElShammah None; Rony Sayegh Novartis, Allergan , Code R (Recipient)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 594 – A0295. doi:
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      Maliya Delawan, Shaikha Hamad Aljneibi, Emma Adami, Nora ElShammah, Rony R Sayegh; Add-On Bolster Element for Temporary Tarsorrhaphy Augmentation. Invest. Ophthalmol. Vis. Sci. 2022;63(7):594 – A0295.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To describe a method of temporary tarsorrhaphy augmentation using an add-on bolster element.

Methods : The add-on bolster was made from 3 plastic tubings of approximately equal length, cut from a pediatric butterfly cannula or other IV tubing. One of the plastic tubings was cut lengthwise on one side. A double-armed non-absorbable suture, such as a 4-0 nylon, silk, or prolene, was passed in a horizontal mattress fashion through one wall of the cut tubing, and through the first uncut tubing. The same procedure is performed on the second uncut tubing, resulting in 3 cylinders connected by the 2 arms of the suture in a parallel fashion. Finally, the 2 needles were passed through the opposite wall of the original tubing, the one with the lengthwise cut, and tied in a horizontal mattress fashion.

Results : The optimal size of the add-on bolster was calculated using a formula which includes the length of the tarsorrhaphy and the size of the palpebral fissure. A 17-year-old corneal graft recipient female with cicatricial lagophthalmos, the add-on bolster was slipped between the original tarsorrhaphy suture and bolster, augmenting its effect and resulting in re-approximation of the eyelid margins and protection of the ocular surface for an additional 2 months. The only complication observed was loss of the add-on bolster that was replaced.

Conclusions : The use of the add-on bolster to augment a temporary tarsorrhaphy is a simple technique to salvage the suture tarsorrhaphy and prolong its usefulness.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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