American journal of ophthalmology case reports · 2026
Multiple gold weight implants to treat lagophthalmos and improve contour.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lin Matthew, Ho Michelle, Lelli Gary Joseph
Аннотация
PURPOSE: To report a novel approach for managing persistent lagophthalmos and eyelid contour abnormality after initial gold weight implantation.
OBSERVATIONS: Paralytic lagophthalmos is defective eyelid closure due to facial nerve damage. One common, effective treatment is lid loading with eyelid weights. By implanting a weight into the upper eyelid, gravity is used to help close the eyelid, decrease corneal exposure, and prevent further disease such as exposure keratopathy. This case details a patient with paralytic lagophthalmos post resection of a vestibular schwannoma. She underwent gold weight implantation but still experienced incomplete eyelid closure and altered eyelid contour. Instead of performing common revision procedures such as repositioning or replacing the weight, a second, smaller, gold weight was added in the same eyelid.
CONCLUSIONS AND IMPORTANCE: Placement of a second gold weight in the same eyelid may represent a simple alternative to revision and replacement of initial gold weight.
OBSERVATIONS: Paralytic lagophthalmos is defective eyelid closure due to facial nerve damage. One common, effective treatment is lid loading with eyelid weights. By implanting a weight into the upper eyelid, gravity is used to help close the eyelid, decrease corneal exposure, and prevent further disease such as exposure keratopathy. This case details a patient with paralytic lagophthalmos post resection of a vestibular schwannoma. She underwent gold weight implantation but still experienced incomplete eyelid closure and altered eyelid contour. Instead of performing common revision procedures such as repositioning or replacing the weight, a second, smaller, gold weight was added in the same eyelid.
CONCLUSIONS AND IMPORTANCE: Placement of a second gold weight in the same eyelid may represent a simple alternative to revision and replacement of initial gold weight.