Reanimation of the paretic eyelid using gold weight implantation. A new approach and prospective evaluation.
Sixty-one lid-loading procedure, performed by the author, were evaluated prospectively. Simple, gold weight implantation, combined with lower lid retractor recession, placement of fascia lata, and lateral tarsal strip tightening is effective for promoting voluntary closure and correction of lower lid paralytic ectropion. Placement of a heavier gold weight, in combination with mullerectomy, is a reliable new approach for mimicking involuntary blink without ptosis.
Gilbard
S M
SM
Department of Ophthalmology, St. Joseph's Hospital and Maricopa Medical Center, Phoenix, Arizona.
Daspit
C P
CP
D001767:Blinking / Q000502:physiology; D004483:Ectropion / Q000601:surgery; D005069:Evaluation Studies as Topic; D005141:Eyelid Diseases / Q000601:surgery*; D006047:Gold Alloys; D006801:Humans; D010243:Paralysis / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D019736:Prostheses and Implants; D014792:Visual Acuity
D006047:Gold Alloys