What is the role of eye protection in the treatment of congenital facial paralysis?

Updated: Jan 07, 2019
  • Author: Alan D Bruns, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

When eye protection is inadequate and corneal abrasions result, tarsorrhaphy, gold weights, and palpebral springs should be considered. Gold weights are likely the best option because they are simple to insert and easily removed. This procedure is rarely performed in the newborn because parents are often very capable of protecting the infant's eyes.

A first large series of thin-profile platinum eyelid weight implantations has been introduced for the treatment of lagophthalmos. This implant significantly reduces both capsule formation phenomena and extrusion compared with gold weights and could be considered an alternative to the more conventional gold implants. [53]


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