OCULOPLASTIC SURGERY IN PATIENTS WITH PARALYTIC LAGOPHTHALMOS
Abstract:
The treatment for the complications of facial nerve palsy is complex and varies from one patient
to another. Lagophthalmos secondary to facial palsy, defined as the inability of the eyelids to fully close,
is a clinically condition that requires effective and early treatment in order to prevent the serious
complications of prolonged corneal exposure. The therapeutic approach should be systematic, the
ophthalmologist will try to establish the underlying cause of the facial palsy and will ensure that the
patient’s cornea is protected. The treatment is individualized for each patient and depends on the
prognosis of functional recovery of facial nerve palsy. If lagophthalmos is discrete, the treatment is
symptomatic, nonsurgical, in order to improve the quality of patient’s life and it is limited on lubrication
of the cornea. Surgical treatment is required in the patients with no perspective for functional recovery of
facial nerve; the techniques are chosen to establish the palpebral function and ocular comfort. Surgical
procedures include static and dynamic techniques. This review presents the most used static procedures
for ocular surface coverage.
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