title: Ophthalmic grading of facial paralysis: need for a closer look.
abstract: Very many variations of facial grading systems have been developed, but none address the ophthalmic complications of facial nerve weakness adequately. The important priorities for ophthalmic surgeon are protecting the ocular surface, maintaining sight and peripheral vision, as well as improving the cosmesis of periocular area. The absence of a universally agreed grading system on the ophthalmic plastic complications of facial nerve paralysis is an obstacle to standardised treatment. It is time for clinicians to recognise this need.
authors.affiliation: Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
authors.forename: Kimia
authors.initials: K
authors.lastname: Ziahosseini
authors.affiliation: Department of Plastic Surgery, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
authors.forename: Charles
authors.initials: C
authors.lastname: Nduka
authors.affiliation: Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
authors.forename: Raman
authors.initials: R
authors.lastname: Malhotra
mesh_terms: D003941:Diagnostic Techniques, Ophthalmological; D005146:Facial Asymmetry / Q000175:diagnosis*; D020220:Facial Nerve Injuries / Q000175:diagnosis*; D005158:Facial Paralysis / Q000175:diagnosis*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D012720:Severity of Illness Index
keywords: Anatomy; Cornea; Eye Lids; Ocular surface; Treatment other