[Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results)].

Unlabelled: Upper eyelid weigh gold implant is the widely accepted standard for the treatment of paralytic lagophthalmos (PL).

Aim: To evaluate late outcomes of PL correction with chain gold implants.

Material And Methods: Chain gold implants were inserted in the upper eyelids of 70 patients with lagophthalmos due to chronic facial paralysis.

[Correction of paralytic lagophthalmos].

Current options for correction of paralytic lagophthalmos are either temporary (external eyelid weight placement, hyaluronic acid gel or botulinum toxin A injection) or permanent (various procedures for narrowing of the palpebral fissure, upper eyelid weights or spring implantation). Neuroplastic surgery (cross-facial nerve grafting, nerve anastomoses) and muscle transposition surgery is not effective enough. The majority of elderly and medically compromised patients should not be considered for such complicated and long procedures.