Recession and Extirpation of the Lower Eyelid Retractors for Paralytic Lagophthalmos.

Abstract:

PURPOSE:To describe a technique to correct lower eyelid malposition and lagophthalmos due to facial nerve palsy. METHODS:Chart review was performed and identified 13 patients with facial nerve palsy, who presented with paralytic eyelid malposition and were treated with recession and extirpation of the lower eyelid retractors between September 2012 and March 2014 by 1 surgeon (HBL). RESULTS:A total of 12 eyelids in 11 patients met inclusion criteria. Mean preoperative MRD2 was 10 mm (range, 9.0-12.0 mm) and the mean postoperative MRD2 was 7 mm (range, 5.0-9.0 mm). The MRD2 improved an average of 3.0 mm in each patient (range, 2.0-4.0 mm). Patients had an average of 6.9 mm (range, 4.0-10.0 mm) of lagophthalmos preoperatively, which improved to 2.1 mm (range, 0.0-4 mm). The amount of lagophthalmos improved an average of 4.8 mm in the patients. There were no complications encountered in the patients. All patients had a subjective improvement in ocular comfort. CONCLUSIONS:The authors' surgical technique is effective in addressing lower eyelid malposition and ocular surface disease in paralytic lagophthalmos.

authors

Compton CJ,Clark JD,Nunery WR,Lee HB

doi

10.1097/IOP.0000000000000485

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

323-4

issue

4

eissn

0740-9303

issn

1537-2677

journal_volume

31

pub_type

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