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Modified Temporary Eyelid Margin Suture for Correction of Congenital Horizontal Tarsal Kink: A Novel Surgical Technique

Purpose: Tarsal kink is a rare congenital eyelid anomaly that may lead to corneal opacity and amblyopia secondary to severe entropion. The authors aimed to describe a modified temporary lid margin suture method for tarsal kink correction. Method: In this novel surgical technique, a double-armed 6/0 prolene suture was passed through the upper eyelid and the lower eyelid margins to correct the tarsal kink under topical anesthesia. Result: The authors found that this procedure was very effective and successful for correction of tarsal kink with no incision of the tarsus or eyelid skin, providing a low risk of amblyopia. Conclusion: The modified temporal lid margin suture is a simple, practical, and effective procedure for tarsal kink correction.