ABSTRACT
The important issues are the stout, curved, double-armed suture needles. They need to be sufficiently curved and stout to pass through the lateral orbital wall or periosteum without breaking. Conventional teaching suggests passing the suture through the periosteum of the lateral orbital rim but passage through the bone itself provides more stable fixation. This is easily accomplished in over 90% of patients. One or two skin sutures will close the lateral canthal wound.
