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Published on: March 1, 2015
Static management of lagophthalmos following facial nerve paralysis using standardized weights
1Kasr El Aini School of Medecine, Cairo University, Cairo, Egypt. drmelshazly@yahoo.com
Objective:
Peripheral facial nerve paralysis is accompanied by inability to properly close the eye and protect the cornea. The implantation of a standardized upper eyelid gold weight implant allows gravitational pull on the relaxed eye.
Methods:
Custom-made gold implants were surgically implanted pre-tarsally in the upper eyelids of 37 patients with facial nerve paralysis.
Results:
Excellent results were achieved in 36 patients. Repeated extrusion occurred in one case.
Conclusion:
This is a simple, reliable and especially reversible surgical procedure for the rehabilitation of the paralyzed eye.
