[6 years experience with reversible and surgical upper eyelid weighting in lagophthamos].
BACKGROUND
The procedures for prophylaxis and treatment of keratopathy following facial palsy with lagophthalmos are unsatisfying from the functional point of view.


METHODS
Three years ago we created a "lid-dynamic" procedure and applied it to 46 patients with Bell's palsy or before implantation of a gold lid weight. Fixation of lead weights of 0.8-2.0 g to the upper lid by a foil adhesive on both sides (Tesafix), can lead to restoration of lid closure. Within 6 years we implanted 24-carat gold weights into the upper lid in 72 patients.


RESULTS
In all cases lid function was markedly improved; all patients appreciated the procedure. The lead weights were well tolerated. In 27% of the operative cases we observed a slight underdosage, in 10% a slight overdosage.


CONCLUSIONS
Lid loading is a simple and effective method for functional and cosmetical rehabilitation of patients with lagophthalmos. Despite the dependence upon gravity, the procedure can be recommended for all cases of facial palsy.
Müller-Jensen
K
K
Augenklinik, Städtisches Klinikum, Karlsruhe.
Jansen
M
M
D000328:Adult; D000368:Aged; D015352:Dry Eye Syndromes / Q000209:etiology / Q000601:surgery*; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006046:Gold; D006801:Humans; D007854:Lead; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012189:Retrospective Studies; D016896:Treatment Outcome
D007854:Lead; D006046:Gold