Blepharorrhaphy in the complex treatment of the anterior eye diseases

Abstract

Introduction. Blepharorrhaphy (BR) is an operation aimed at reducing the size or complete closure of the eye slit, a technically simple and proven technique used in the treatment of patients with various diseases of the eye accessory apparatus, eyeball and orbit. But to date, there are no clear criteria for choosing the type of operation (temporary or permanent, the latter is full or partial) and evaluating its effectiveness.

The purpose of the study: to evaluate the effectiveness of the use of blepharorrhaphy various types in the complex treatment of the eye anterior part diseases.

Material and methods. The analysis of case histories and outpatient records of patients who underwent blepharorrhaphy surgery in the ophthalmological department of the City Clinical Hospital No. 2 named after Dr. F.Kh. Gral’ in Perm in 2020–2021 was carried out.

Results. 42 partial blepharorrhaphy surgeries were performed, including temporary suture and non-bloody permanent ones in 30 patients in 35 eyes. The type of BR and the period for which the stitches were applied were determined individually depending on the severity of the lesion. At the same time, the cornea was coated with the “Alloplant” material for the conjunctiva and cornea. All patients were divided into 4 groups depending on the etiology of the pathological process. According to the indications the BR was repeated. The analysis of treatment results was carried out within each group in the early postoperative and long-term periods.

Conclusions. The effectiveness of blepharorrhaphy was assessed by the possibility of preserving the eye as an organ, it was possible in 94%. The preserved eyes needed further rehabilitation. The choice of one or another type of operation should depend on a number of conditions and the approach in each case should be strictly individual.