Precise apposition of the tarsal plates and meticulous alignment of the eyelid margins are essential to ensure a seamless repair and avoid notching of the eyelid margin. The authors present a simple and reliable technique that firmly apposes and precisely aligns the eyelid margin in the x, y, and z axes, obviating the need for marginal sutures.A retrospective audit of electronic medical records was performed for all patients who underwent reconstructive procedures that included the repair of a full-thickness defect in the eyelid margin using the diagonal suture technique from 2003 to 2012.Of the 652 surgeries performed in the past 9 years, 9 incidences of notching occurred, all of which were associated with infections.The diagonal tarsal suture technique is a simple and effective method for the repair of full-thickness defects with a high degree of patient satisfaction.

+More

z axes reconstructive procedures eyelid margins x y tarsal plates audit of electronic medical records diagonal tarsal suture technique repair of fullthickness defects fullthickness defect

Andrea, Willey Richard H, Caesar,.Diagonal tarsal suture technique sine marginal sutures for closure of full-thickness eyelid defects.. 29 (2),137-8.

Andrea, Willey Richard H, Caesar,"Diagonal tarsal suture technique sine marginal sutures for closure of full-thickness eyelid defects." 29

Andrea, Willey Richard H, Caesar,"Diagonal tarsal suture technique sine marginal sutures for closure of full-thickness eyelid defects."