DR. KEERTHI REDDY VONTELA

Dr. MODINI PANDHARPURAR

PURPOSE

To classify etiologies, analyze management protocols & complications of lagophthalmos

METHODS

A Descriptive study of 140 patients

M/C etiologies-paralytic, cicatricial & orbital apex related

Facial paralysis-42%

of which Bell’s palsy-18%

s/p trauma-10%

s/p Head and neck surgeries-3%

Stroke related-3%

Infection related-2%

Hansen’s disease-5%

Cicatricial lagophthalmos-19%

of which s/p trauma-12%

s/p Burns-6%

s/p chemical injury-1%

Orbital apex related-26%

of which Thyroid orbitopathy-14%

COVID 19 mucormycosis-12%

s/p ptosis correction-8%.

Ectropion-5%.

Treatment advised

Lubricants & Tape tarsorrhaphy-mild lagophthalmos.

Tarsorrhaphy based on corneal condition.

Gold weight implant-young patients with duration >6 months, paralytic etiology.

Inj. Botulinum given to 1 patient.

CONCLUSION

Early intervention prevents exposure keratopathy& corneal ulceration.

Gold weight implant provides excellent results.

Cicatricial lagophthalmos has poor prognosis & needs surgical intervention.