What is the Transconjunctival Approach?

April 17, 2023

When it comes to surgery, the goal is to minimize invasiveness and reduce recovery time. One of the approaches used for eye surgery is called a transconjunctival approach. This approach allows surgeons to access the interior of the eye without making an incision through the skin, which reduces complications and can lead to quicker healing times. Let’s take a look at how this approach works and why it’s beneficial for patients.

What is Transconjunctival?

The transconjunctival approach is a type of eye surgery that involves accessing the interior of the eye through an entry point on the inside of the eyelid rather than through an external incision. This method is commonly used for various types of eye surgeries, including corrective laser refractive surgery, cataract removal, and glaucoma treatments. It also may be used in more complex cases, such as orbital fracture repair or enucleation (removal) of an eyeball.

Benefits of the Transconjunctival Approach

The transconjunctival approach has several advantages over traditional upper and lower blepharoplasties. First, because it involves making an incision on the inside of the eye, there is no visible scarring after surgery—unlike traditional methods where an incision is made near the lash line. Second, this method allows for more precise control during surgery so that only excess fat and skin are removed from the area. Finally, because there’s less tissue damage when using this technique, patients tend to experience less postoperative discomfort and have a quicker recovery time.

The Procedure Itself

A surgeon performing a transconjunctival blepharoplasty will begin by making an incision in the inside of your lower eyelid to access any excess fat or skin that needs to be removed. After removing any unwanted tissues, they may also use sutures to tighten up any remaining tissue if necessary.

Depending on your individual needs and goals for surgery, they may also reposition any existing fat deposits in order to sculpt them into a more aesthetically pleasing shape. Once all desired changes are complete, your surgeon will close up the incision before you’re able to go home from surgery.

Tools for Transconjunctival Surgery


One of the most commonly used tools during transconjunctival surgery is microforceps. These are small forceps that are available in different sizes and shapes, depending on their intended use. They are particularly useful for grasping small tissue fragments or manipulating them within the orbit. Additionally, they can also be used to hold sutures and facilitate tissue approximation. Microforceps have delicate tips, which make them ideal for use in delicate anatomical regions such as the orbit.

Lacrimal Probes and Ball Tipped Instruments

Lacrimal probes and ball-tipped instruments are also essential tools for transconjunctival surgery. Lacrimal probes come in various sizes and shapes and can be used to explore lacrimal sacs or perform intubation techniques if necessary. Ball-tipped instruments can be used to dissect around orbital structures and manipulate fatty tissues within orbits without damaging other structures like nerves or blood vessels. Both lacrimal probes and ball-tipped instruments are available as disposable or reusable tools depending on their intended application.

Cannulas and Needles

Cannulas and needles play an important role in transconjunctival surgery as well. Cannulas can be used for fat aspiration during blepharoplasty procedures or fat injections into the periorbital area when needed. In addition, needles can be used to introduce sutures into tissue planes or inject medications into targeted areas if necessary. Cannulas and needles come in various sizes so that they can fit into different anatomical sites with ease while still allowing surgeons precise control over their movements within orbits during surgery.

For those looking for a way to reduce lower eyelid bags or excess skin without having visible scarring afterward, a transconjunctival approach may be right for you! This method has many benefits compared with traditional techniques; it’s less invasive with fewer risks involved, as well as being able to provide more precise control during surgery, resulting in faster recovery times with minimal discomfort afterward. If you want to learn more about what this procedure entails and how it could benefit you specifically, then speak with your doctor today!

Carlos Diaz
I believe in making the impossible possible because there’s no fun in giving up. Travel, design, fashion and current trends in the field of industrial construction are topics that I enjoy writing about.

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