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[Lidloading and intraocular pressure].

T Schrom1, A Habermann, K Wernecke

  • 1Klinik für Hals-, Nasen-, Ohrenkrankheiten, Humboldt-Universität zu Berlin, Charité Campus Mitte, Berlin. thomas.schrom@gmx.de

Klinische Monatsblatter Fur Augenheilkunde
|January 29, 2005
PubMed
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This study found that neither rigid gold nor flexible platinum lid weights significantly increase intraocular pressure (IOP) in patients with paralytic lagophthalmos. Therefore, glaucoma is not an absolute contraindication for this effective lagophthalmos treatment.

Area of Science:

  • Ophthalmology
  • Oculoplastics
  • Medical Devices

Background:

  • Lidloading, using rigid gold or platinum implants, is a common treatment for paralytic lagophthalmos.
  • Flexible platinum chains are a newer alternative for lagophthalmos therapy.
  • Glaucoma has historically been considered a contraindication for lidloading procedures.

Purpose of the Study:

  • To investigate whether lid weights (gold implants or platinum chains) increase intraocular pressure (IOP).
  • To evaluate the safety of lidloading in patients with paralytic lagophthalmos, particularly those with glaucoma.

Main Methods:

  • A prospective study was conducted involving 100 patients with paralytic lagophthalmos.
  • Intraocular pressure (IOP) was measured before and after the implantation of 46 rigid gold implants and 39 flexible platinum chains.

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Main Results:

  • Neither rigid gold implants nor flexible platinum chains resulted in a statistically significant change in IOP.
  • No significant difference in IOP changes was observed between the gold implant and platinum chain groups.

Conclusions:

  • Glaucoma is not an absolute contraindication for the use of lid weights in treating paralytic lagophthalmos.
  • Lid weights offer a safe and effective treatment option for paralytic lagophthalmos, even in patients with glaucoma.
  • Lid weights are easily removable if complications arise.