title: [Staged complex treatment of paralytic lagophthalmos (case report)].
abstract: Paralytic lagophthalmos, resulting from facial nerve palsy, is a difficult medical and social issue that requires cooperation of different specialists. Complications that arise in paralytic lagophthalmos may cause significant vision loss and even eye loss. Various techniques of paralytic lagophthalmos correction are used to protect the cornea and restore eyelid anatomy and functions. These comprise palliative (conservative), surgical, and alternative treatments (such as botulinum toxin type A therapy). Surgical treatment of paralytic lagophthalmos patients often has to be staged and complex. This article presents a clinical case of a female patient with paralytic lagophthalmos complicated by corneal perforation. Her staged complex treatment included lower eyelid surgery, chemodenervation of the upper eyelid levator and optical reconstructive surgery. The following positive results were achieved: the protective function of the eyelids was restored, residual visual functions - preserved, the risk of eye loss - eliminated, and the asymmetry between the two halves of the face - corrected.
authors.affiliation: Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 59a Beskudnikovskiy bulvar, Moscow, Russian Federation, 127486.
authors.forename: M B
authors.initials: MB
authors.lastname: Gushchina
authors.affiliation: Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 59a Beskudnikovskiy bulvar, Moscow, Russian Federation, 127486.
authors.forename: S A
authors.initials: SA
authors.lastname: Mal'kov
authors.affiliation: Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 59a Beskudnikovskiy bulvar, Moscow, Russian Federation, 127486.
authors.forename: E V
authors.initials: EV
authors.lastname: Kovshun
authors.affiliation: Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 59a Beskudnikovskiy bulvar, Moscow, Russian Federation, 127486.
authors.forename: N S
authors.initials: NS
authors.lastname: Yuzhakova
mesh_terms: D000368:Aged; D020330:Bell Palsy / Q000150:complications*; D000529:Complementary Therapies / Q000379:methods*; D000072700:Conservative Treatment / Q000379:methods*; D057112:Corneal Perforation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D013508:Ophthalmologic Surgical Procedures; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy