ABSTRACT
El lagoftalmo secundario a daño del nervio facial trae como consecuencia alteraciones funcionales y estéticas que pueden tributar a serias complicaciones corneales y eventualmente a la ceguera. El correcto manejo depende de su severidad y del tiempo de recuperación. El implante de pesas de oro en el párpado superior juega un importante papel en el tratamiento a mediano y largo plazo de esta afección. Se presenta un paciente masculino de 74 años con síntomas y signos de parálisis facial periférica derecha, incluyendo lagoftalmo ipsilateral con gran deterioro corneal. Se le implantó una pesa de oro pretarsal en el párpado superior para corregir el lagoftalmo paralítico y se obtuvieron excelentes resultados funcionales y estéticos. Mientras novedosas modalidades de tratamiento se encuentran en el horizonte con gran potencial para alterar el algoritmo de tratamiento actual, este proceder continúa siendo una técnica confiable, segura y efectiva para la rehabilitación permanente del párpado superior(AU)
Lagophthalmos secondary to facial nerve damage brings about functional and esthetic alterations which may result in serious corneal complications and eventual blindness. Appropriate management depends on severity and recovery time. Gold weight implantation in the upper eyelid plays an important role in the medium- and long-term treatment of this condition. A male 74-year-old patient presents with signs and symptoms of right-side peripheral facial paralysis, including ipsilateral lagophthalmos with great corneal deterioration. A pretarsal gold weight was implanted in the upper eyelid to correct the paralytic lagophthalmos, and excellent functional and esthetic results were obtained. While novel treatment modes lie in the horizon with great potential to alter the algorithm of current treatment, this procedure continues to be a reliable, safe and effective technique for the permanent rehabilitation of the upper eyelid(AU)
Subject(s)
Humans , Male , Aged , Prostheses and Implants/statistics & numerical data , Blepharoptosis/surgery , Eyelid Diseases/surgery , Oculomotor Muscles/physiopathologyABSTRACT
Subject(s)
Humans , Eyelids , Plague , Rehabilitation , Synkinesis , Tissue Donors , TransplantsABSTRACT
When an eye is exposed to the air due to lagophthalmos caused by facial nerve paralysis, exposure keratitis, conjunctivitis and corneal damages occur. Artificial tears, soft contact lens, ophthalmic ointments, and tarsorrhaphy have been used for treatment of lagophthalmos to relieve exposure keratopathy. But these trials have little continuity and comfortability and have many cosmetic problems, so that the results have not been satisfactory. We obtained good results by implantation of Gold weight in the upper lid for the treatment of lagophthalmos with complications in 7 cases. In conclusion, the author believes that Gold weight implantation will be a good therapeutic modality for treatment of lagophthalmos.
Subject(s)
Conjunctivitis , Contact Lenses, Hydrophilic , Facial Nerve , Keratitis , Ointments , Ophthalmic Solutions , ParalysisABSTRACT
When an eye is exposed to the air due to lagophthalmos caused by facial nerve paralysis, exposure keratitis, conjunctivitis and corneal damages occur. Artificial tears, soft contact lens, ophthalmic ointments, and tarsorrhaphy have been used for treatment of lagophthalmos to relieve exposure keratopathy. But these trials have little continuity and comfortability and have many cosmetic problems, so that the results have not been satisfactory. We obtained good results by implantation of Gold weight in the upper lid for the treatment of lagophthalmos with complications in 7 cases. In conclusion, the author believes that Gold weight implantation will be a good therapeutic modality for treatment of lagophthalmos.