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Lateral tarsorrhaphy is a procedure where the outer part of the upper and lower eyelids are partially joined together. The goal is to protect the front of the eye and help it stay moist. It may be done temporarily or for a longer period, depending on the reason.
read more about lateral tarsorrhaphy ...It's often used when the eye surface needs extra protection, such as with severe dryness or exposure when the lids don't close fully. By narrowing the opening, the cornea can dry out less. This can help the eye heal and feel more comfortable.
A clinician brings the outer eyelid edges together using stitches or another method. Some versions are designed to be temporary, while others last longer. Your doctor will choose the approach based on your condition and goals.
You may have mild swelling, tenderness, or a pulling sensation while the area heals. Vision can feel different because the eye opening is smaller, especially to the side. Follow your care instructions closely, including how to clean the area and use any prescribed drops or ointment.
As with many eyelid procedures, risks can include irritation, infection, or an uneven lid edge. Some people may need adjustment if the closure is too tight or not protective enough. Alternatives can include moisture goggles, special contact lenses, or other eyelid procedures, depending on the cause.
It can reduce side vision on the treated side because the eyelid opening is smaller. Many people still see well straight ahead, but the field of view can feel narrower. Your doctor can explain what to expect for your daily activities.
Many tarsorrhaphies are designed to be temporary and can be opened later. Others are meant to last longer but can still sometimes be revised. The plan depends on why it was done and how your eye is healing.
Timing varies based on the condition being treated and whether the closure is temporary or longer-term. Some are kept for weeks to months, while others are maintained longer if needed. Your follow-ups help decide when changes are safe.
Call if you have worsening pain, increasing redness, pus-like discharge, fever, or a sudden change in vision. Also reach out if the eyelids feel too tight or the eye still feels very exposed. It's better to check early if something feels off.
Tarsorrhaphy. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/tarsorrhaphy. Updated December 203, 2024.
Exposure Keratopathy. American Academy of Ophthalmology. https://eyewiki.org/Exposure_Keratopathy. October 28, 2025.
Eyelid Surgery. American Academy of Ophthalmology. https://www.aao.org/eye-health/treatments/eyelid-surgery. July. 22, 2025.
Dry Eye. National Eye Institute. https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/dry-eye. Updated August 6, 2025.
Tarsorrhaphy. All About Vision. https://www.allaboutvision.com/treatments-and-surgery/vision-surgery/corneal/tarsorrhaphy/. Updated May 9, 2023.