Treatment of Lagophthalmos with Gold Implantation.

Lee, Sang Yeul; Hong, Sung Bum; Lee, Won Sang

Original Article

Journal of the Korean Ophthalmological Society 1993;34(4):286-290.
Published online April 1, 1993.

Treatment of Lagophthalmos with Gold Implantation.

Sang Yeul Lee, Sung Bum Hong, Won Sang Lee

Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

금판 삽입술을 이용한 토안의 치료

홍성범(Sung Bum Hong),이상렬(Sang Yeul Lee),이원상(Won Sang Lee)

Abstract

Lagophthalmos creates functional deficits, exposed keratitis, and corneal ulcer that may lead to blindness. Thus, managment of paralysis following facial nerve injury should include provision of adequate corneal coverage. Tarsorrhaphy has been the classic method of providing corneal protection in patients with facial nerve paralysis. However, tarsorrhaphy is cosmetically unsatisfactory, limits vision, and provides poor corneal protection. Reanimation of the paralyzed eyelids with a gold implantation has overcome these limitations. We had a good result from gold implantation into the upper lid in a lagophthalmic patient of facial nerve paralysis.

Key Words: Lagophthalmos;Gold implantation