Abstract
Facial nerve palsy results in functional and cosmetic disabilities, including inability to close the eyelids (lagophthalmos), decrease in tear production, incomplete blinking, and asymmetric looking. These patients are at greater risk of exposure keratitis, corneal ulceration and even blindness. There are a variety of non-surgical and surgical options for correcting lagophthalmos. The use of gold weight eyelid implant is an established procedure in treatment of lagophthalmos with successful results. However, complications with these methods continue to occur (implant migration or extrusion, wound infection, failure to correct the lagophthalmos, and excessive postoperative ptosis). This study describes our modification of thinner, longer and wider gold weight implant in order to prevent these complications, and moreover to achieve a more satisfying cosmetic result.
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