[Treatment of lagophthalmos with adhesive eyelid weights (reversible lid-loading)].
BACKGROUND
In facial palsies with lagophthalmic keratopathy, an hour-glass dressing is indicated. This dressing has the disadvantage of a moisture chamber, visual impairment occurs by steaming up. After weeks of placement dermal irritations are possible. An alternative is gravity-dependent lid-loading, 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 lid closure without impairment of lid opening. After tests on 10 normal persons lid-loading implants were placed on 22 patients with lagophthalmos and compared with hour-glass dressing. The new method was also applied to 26 additional patients.


RESULTS
The dynamic lead weight was effective and well-tolerated. It was more accepted eosine tically, especially during the day because of its 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
Lid-loading with lead weights that are glued by an adhesive layer to the upper lid can be recommended as a useful method in cases of reversible lagophthalmos or as a preparatory step before gold implantation.
HNO-Klinik, Städtisches Klinikum Karlsruhe.
G
G
Müller-Jensen
K
K
Müller-Jensen
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D001767:Blinking / Q000502:physiology*; D002648:Child; D015352:Dry Eye Syndromes / Q000503:physiopathology / Q000628:therapy*; D005141:Eyelid Diseases / Q000503:physiopathology / Q000628:therapy*; D005158:Facial Paralysis / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007854:Lead / Q000493:pharmacokinetics; D008297:Male; D008875:Middle Aged; D014014:Tissue Adhesives; D014792:Visual Acuity / Q000502:physiology
D014014:Tissue Adhesives; D007854:Lead
Behandlung des Lagophthalmus mit klebenden Lidgewichten ("reversible lid-loading").