[Conceptual basics of paralytic lagophthalmos correction]

Abstract

The article discusses complications of paralytic lagophthalmos, such as exposure keratopathy, keratitis, corneal lysis, as well as other exposure-related problems and abnormalities of eyelid position. Thorough analysis of surgical methods of eyelids malposition correction, besides conservative protective measures for the cornea, has been performed. The primary treatment goal in facial nerve paralysis is the prevention of severe corneal complications. The most effective methods of static correction of paralytic lagophthalmos, once of narrowing of palpebral fissure by means of circular suture, and different techniques of ectropion correction are discussed. Application results on an upper eyelid implant are presented. Indications for suture and permanent tarsorrhaphy in patients with facial paralysis are also observed.