Paralytic lagophthalmos, or incomplete eye closure, often results from facial nerve injury. This condition can lead to discomfort, dryness, and potential eye damage. At Lunata Eyelid and Cosmetic Surgery, we specialize in gentle and precise treatments to restore eyelid function for patients with paralytic lagophthalmos.
When you can’t fully close your eyelids…
Paralytic lagophthalmos occurs when you cannot completely close your eyelids due to facial nerve injury. The facial nerve controls the muscles responsible for eyelid movement and tone. When damaged, several problems can occur that involve the eyelids. When the nerve is damaged, blinking can become reduced or stop altogether, and the eyelids may not close completely. Additionally, the lower eyelid may lose its natural tone and turn outward (ectropion). These issues can cause dryness, irritation, and increase the risk of infections or corneal damage. It’s important to seek prompt medical attention to protect your eye health and maintain comfort if this occurs.
How is paralytic lagophthalmos treated?
Paralytic lagophthalmos treatment consists of several different procedures, all of which aim to restore eyelid function and protect the eye. The procedures are performed with the goal of improving the upper eyelid position, improving the force of the blink, and achieving complete eyelid closure. These procedures will help improve the functioning of the eyelids, the health of the eye, and also improve the appearance of the eyelids and face.
Signs and symptoms of facial nerve injury
- Inability to fully close the eyelids
- Dryness and irritation in the eyes
- Excessive tearing or watery eyes
- Sensitivity to light (photophobia)
- Eye redness or inflammation
- Frequent eye infections
- Blurred or decreased vision
- Feeling of foreign body sensation in the eye
- Difficulty blinking or reduced blinking frequency
- Visible gap between the eyelids when closed
The steps involved in treating your paralytic lagophthalmos
There are several surgical procedures available to correct paralytic lagophthalmos, each tailored to the severity of the condition and the patient’s specific needs. These procedures aim to restore proper eyelid function, protect the eye, and improve comfort. Common surgical options include:
- Gold or Platinum Weight Implantation: In this procedure, a small gold or platinum weight is implanted in the upper eyelid, allowing it to blink and close more easily with gravity. This is a minimally invasive option that helps protect the eye by facilitating natural eyelid closure.
- Tarsorrhaphy: This technique involves partially suturing the outer edges of the upper and lower eyelids together to reduce the size of the eyelid opening. By narrowing the eyelid height, eye protection is enhanced. Tarsorrhaphy can be temporary or permanent, depending on the case.
- Lateral tarsal strip: This procedure involves tightening the lower eyelid to improve tone and correct an outward turn (ectropion).
Each of these surgical options can be customized to address the specific needs of patients with paralytic lagophthalmos. Dr. Eliasieh will carefully evaluate your condition and recommend the best approach to restore eyelid function and protect your eye health.
After your surgery, Dr. Eliasieh will provide you with detailed aftercare instructions to ensure a smooth recovery. You may experience mild swelling and bruising, which should subside within a few days. Follow-up appointments will be scheduled to monitor your healing process and make any necessary adjustments. By adhering to Dr. Eliasieh’s guidance, you can expect improved comfort and protection for your eye health, leading to a better quality of life.
Schedule a consultation
Lunata Eyelid and Cosmetic Surgery is dedicated to providing light touch treatments for facial nerve injury. Our board-certified oculofacial plastic and reconstructive surgeon, Dr. Eliasieh, specializes in techniques to enhance your comfort and eye health. Schedule a consultation at our Berkeley clinic today to explore how we can help you.
