[Adhesive eyelid weights ("reversible lidloading") for treatment of lagophthalmos].
BACKGROUND
In facial palsies with lagophthalmic keratopathy an hour-glass dressing is indicated, which has the disadvantage of a moisture chamber with visual impairment by steaming up. After weeks of placement dermal irritations are possible. An alternative is the gravity dependent lidloading, using gold implantation in cases of irreversible lagophthalmos.


METHODS
Lead weights of 0.8 to 2.0 g are glued to the upper lid with an adhesive layer, that is well tolerated by the skin (Combihesive*), or by a simple foil that is glued on both sides (Tesafix). This results in a lidclosure without impairment of lid opening. After tests on 10 normal persons the described method was placed on 22 patients with lagophthalmos and compared with hour-glass dressing. The new method was applied to 36 additional patients.


RESULTS
The dynamic lead weight is effective and well-tolerated. It was more accepted cosmetically especially during the day because of better cosmetic appearance and better visual function than was the hour-glass dressing. These latter dressings are still important for use in serious cases during the night.


CONCLUSIONS
lidloading with lead weights that are glued by an adhesive layer to the upper lid can be recommended as a new method in cases of reversible lagophthalmos or as a preparatory step before gold implantation.
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D005141:Eyelid Diseases / Q000209:etiology / Q000628:therapy*; D005158:Facial Paralysis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007638:Keratoconjunctivitis Sicca / Q000628:therapy*; D007854:Lead; D008297:Male; D019736:Prostheses and Implants; D014014:Tissue Adhesives
D014014:Tissue Adhesives; D007854:Lead
Klebende Lidgewichte ("reversible lidloading") zur Lagophthalmus-Behandlung.