J Korean Ophthalmol Soc.
1993 Apr;34(4):286-290.
Treatment of Lagophthalmos with Gold Implantation
- Affiliations
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- 1Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Lagophthalmos creates functional deficits, exposed keratitis, and corneal ulcer that may lead to blindness. Thus, managment of paralysis following facial nerve injury should include provision of adequate corneal coverage. Tarsorrhaphy has been the classic method of providing corneal protection in patients with facial nerve paralysis. However, tarsorrhaphy is cosmetically unsatisfactory, limits vision, and provides poor corneal protection. Reanimation of the paralyzed eyelids with a gold implantation has overcome these limitations. We had a good result from gold implantation into the upper lid in a lagophthalmic patient of facial nerve paralysis.
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