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Lid load operation in facial palsy
1Stadt Karlsruhe Klinikum, Akademisches Lehrkrankenhans der Universitat Freiburg.
Indian Journal of Ophthalmology
|September 1, 1994
Summary
Gold weight implantation in 24 patients with irreversible lagophthalmos significantly improved eyelid closure and reduced corneal irritation. This surgical intervention proved highly effective, with 23 out of 24 patients experiencing gratifying results after a 3-year follow-up.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Irreversible lagophthalmos causes significant ocular surface issues, including corneal irritation and epiphora.
- Inability to achieve complete eyelid closure poses a risk to corneal health.
Purpose of the Study:
- To evaluate the efficacy of gold weight implantation in the upper eyelids for treating irreversible lagophthalmos.
- To assess the impact of this procedure on ocular surface symptoms and voluntary blinking.
Main Methods:
- Surgical implantation of gold weights (0.8–1.7 g) into the upper eyelids of 24 patients under local anesthesia.
- Follow-up assessment over a period of 2.5 to 4 years (average 3 years).
Main Results:
- Gratifying results were achieved in 23 out of 24 patients.
- Significant reduction in corneal irritation and epiphora was observed.
- Restoration of voluntary blinking function was enabled by the loaded upper eyelid.
Conclusions:
- Gold weight implantation is a highly effective surgical treatment for irreversible lagophthalmos.
- The procedure offers substantial improvement in ocular surface health and patient quality of life.