[Static correction of lagophthalmos in chronic facial palsy].

Choice of surgical option for lagophthalmos correction (use of encircling allotendinous string or fixation of medial aspect of the lower tarsal plate) in patients with chronic facial palsy is proved. This technique was reinforced with dissection of the tendon or superior tarsal muscle resection and lateral canthopexy. The advantages of surgical methods considering clinical aspects (in particular the degree of medial canthal tendon laxity) are shown.

[The first experience in using the stabilized hyaluronic acid preparation to correct lagophthalmos].

The authors report the results of the first experience in using the stabilized hyaluronic acid preparation in patients with lagopthalmos in the presence of facial nerve palsy and thyroid eye disease and resultant keratopathy of varying degrees. The study included 21 patients, including 15 patients with facial nerve palsy and 6 with endocrine ophthalmopathy. The gel was injected externally to the levator aponeurosis and/or intramuscular, and/or under the pretarsal portion of the orbicularis oculi muscle, and/or subcutaneously.

[Experimental assessment of various external tarsorrhaphy techniques].

The authors first examined morphological differences in interpalpebral fibrous adhesions after "tongue-in-groove" tarsorrhaphy and tarsorrhaphy with additional periosteal fixation. Postsurgical interpalpebral fibrous adhesions indicate the advantages of tarsorrhaphy with periosteal fixation over "tongue-in-groove" tarsorrhaphy and suggest its preference for palpebral fissure narrowing and static correction of lagophthalmos.