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What is Lagophthalmos?
Lagophthalmos is an ophthalmologic consideration in which the affected affected role is ineffectual to close up his or her eyelids totally , either during sleeping or during normal course of the day . Lagophthalmos results in the person having diminished blink , inability to end the middle completely , and impairment of the lacrimal system which bring forth weeping . plebeian introduce lineament of Lagophthalmos is persistent tearing of the optic and a weak palpebra . Some of the coarse causes for Lagophthalmos aretrauma , infection , andtumors . Treatment for Lagophthalmos is both conservative as well as operative which has been discuss in detail below .
What are the Causes of Lagophthalmos?
When it comes to causes of Lagophthalmos , the root lawsuit of this condition is disfunction of the seventh cranial nerve also roll in the hay as the facial nerve . The function of this nerve is to control the cause of the muscles which move the eyebrows up and down . Some of the reasons for disfunction of the facial brass are :
Lagopthalmos Caused Due to Trauma : This can be find due to a direct blow to the side with a hard object such as in cases of domesticated ferocity or amotor vehicle clang , getting injured during a tear of boxing or while playing contact sports like football and rugby .
Lagopthalmos Caused Due to Graves Disease : This is a aesculapian condition in which there is overrun of the thyroid gland hormone . This increase in the thyroid hormone can also ensue in handicap of the facial nerve .
genetic endowment : gene also wreak a role in disfunction of the facial nerve result on Lagophthalmos .
Lagopthalmos make Due to Complications of Surgery : Sometimes Lagophthalmos can be do as a result of complication arising after an eyelid operating room .
Lagopthalmos stimulate Due to Bell Palsy : This is quite a vulgar movement of Lagophthalmos .
What are the Symptoms of Lagophthalmos?
The classic presenting features of Lagophthalmos are :
How is Lagophthalmos Diagnosed?
The diagnosis of Lagophthalmos begin with taking a history of the patient role so as to ascertain the etiology . The patient role should be forthright in telling the physician about any history of hurt to the face such as an violation or a sporting injury . The affected role should also inform the medico about any retiring story of contagion .
The next step towards the diagnosis of Lagophthalmos is to test the eyelids . This is done by enquire the patient to look down and bit by bit try and shut the oculus . If the patient is not able to shut the eyes totally then a diagnosis of Lagophthalmos is confirmed . The arcdegree of Lagophthalmos necessitate to be measured to explicate a treatment program .
How is Lagophthalmos Treated?
Treatments for Lagophthalmos are both conservative as well as operative . When it come to conservative handling , stepwise overture is recommended depend on the duration and severity of Lagophthalmos . The condition of the cornea of the affected role should be follow close and observed for any scathe .
Conservative Treatment for Lagopthalmos : If there is significant exposure of the cornea due to lagophthalmos then stilted tears can be quite good if administered frequently so as to add on the tear motion picture . Apart from this there are also ointments available that can be also used on the surface of the cornea . In case of infection to the cornea then antibiotic therapy will be prescribed . The eye may also be cover with a maculation to protect the cornea .
Tarsorrhaphy : This is a surgical procedure performed when recovery of the eyelid closure is anticipated within a few hebdomad . In this process , a part of the lid is suture together to attain partial gag rule of the eyelid temporarily and protect the cornea . Once the subroutine is done , antibiotic therapy and lubrication is done to treat the cornea . In case if Lagophthalmos is stubborn to medical management and temporary tarsorrhaphy , then a permanent tarsorrhaphy is performed . The downside of Tarsorrhaphy is that the sutura that are place may become loose and get inadequate coverage of the cornea and it may also not depend pleasing to the eye cosmetically .
Gold Weight Implantation : Gold Weights can be embed into the upper eyelid as a mode to care for Paralytic Lagophthalmos . The Gold Weight puts pressure on the upper palpebra and thus the eyelid finale . Gold is used as it does not show up through the thin pelt of the eyelid . If the patient has an allergy to gold then platinum is the choice . The weight of the gold is choose by lay system of weights preoperatively and picking up the best one . This procedure does not have many downside but in some cases migration of the implants and bulge of the atomic number 79 has been observe .
Upper Eyelid Retraction : receding of the upper eyelid retractor is quite an in force subprogram in people with Lagophthalmos do due to upper eyelid abjuration .
low-toned Eyelid Tightening : The grim eyelid may become loose in lawsuit of facialnerve palsy . A tightening procedure in such cases improves collocation of the lower eyelid and lessen pluck .
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