Chapter 10: Tarsal Plate Substitutes in Modern Reconstructive Plastic Surgery of Eyelids Check Access

The tarsus is the most important part of the eyelids as it provides a structure to the eyelids which can open, close, and protect the cornea. The tarsus is attached to several structures, including the Muller’s muscle, the levator muscle and the conjunctiva, and contains the Meibomian glands which are vital in producing normal tears to keep the cornea adequately lubricated. The tarsus may be injured or damaged by disease and require replacement. In other cases, the tarsus may be present but may need reinforcement to allow the eyelid to function properly. To that end, reconstruction of the tarsus with replacement is a common challenge to the reconstructive plastic surgeon. Use of autogenous and alloplastic materials is discussed.