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P. Sivelli, L. Tondini, L. Venco, A. Corbetta, M. Maffei, C. Azzolini; Paralytic Lagophthalmos Rehabilitation With Gold Weight Implants . Invest. Ophthalmol. Vis. Sci. 2006;47(13):5079.
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we evaluate the effectiveness of the lower eye lid passive animation with gold weight implants insertion in cases of paralytic lagophthalmos.
26 patients presenting kerato–conjuntivitis secondary to facial nerve palsy underwent surgical treatment of lagophthalmos by a lower lid insertion of 1 to 1.6 g. heavy gold weight. The average post surgical follow–up was 2 years.
in all the treated cases kerato–conjuntivitis recovered within the first month. All patients were satisfied with both the aesthetic and functional results during first months of follow–up. In 5 cases prosthesis extrusion occurred within 6–8 months: in 3 cases prosthesis was successfully reimplanted whereas 2 patients refused new surgery.
surgical treatment with gold weights in paralytic lagophthalmos is an effective technique able to provide in most patients good functionality with fewer complications.
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