Abstract

NEGRIN CACERES, Yairan; MIERES, Mario; CABRERA ROMERO, Ailyn del Carmen  and  CARDENAS MONZON, Ledisleydy. Palpebral gold weight implantation in the paralytic lagophthalmos treatment. Rev Cubana Oftalmol [online]. 2018, vol.31, n.2, pp. 1-7. ISSN 1561-3070.

Lagophthalmos secondary to facial nerve damage brings about functional and esthetic alterations which may result in serious corneal complications and eventual blindness. Appropriate management depends on severity and recovery time. Gold weight implantation in the upper eyelid plays an important role in the medium- and long-term treatment of this condition. A male 74-year-old patient presents with signs and symptoms of right-side peripheral facial paralysis, including ipsilateral lagophthalmos with great corneal deterioration. A pretarsal gold weight was implanted in the upper eyelid to correct the paralytic lagophthalmos, and excellent functional and esthetic results were obtained. While novel treatment modes lie in the horizon with great potential to alter the algorithm of current treatment, this procedure continues to be a reliable, safe and effective technique for the permanent rehabilitation of the upper eyelid.

Keywords : paralytic lagophthalmos; gold weight implantation; upper eyelid.

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