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Levator palpebrae superioris lengthening in the treatment of keratopathy caused by lagophthalmos after orbital inflammation

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Woś R., Pojda-Wilczek D.

OphthaTherapy

2024

vol. 11

issue 2

192-199

This study aims to evaluate the efficacy of various management strategies for lagophthalmos in a 56-year-old female patient, with a focus on both non-surgical and surgical interventions. The patient underwent an array of non-surgical treatments, including artificial tears, ointments, and therapeutic contact lenses, aimed at maintaining ocular surface integrity. For surgical intervention, the study compared the outcomes of gold weight implantation (GWI), platinum weight implants, modified tarsorrhaphy (MT), and the elongation of the aponeurosis levator superioris muscle. Non-surgical management provided symptomatic relief and temporary protection of the corneal surface. Botulinum toxin A injection may result in improved eyelid closure without significant adverse effects. Surgically, GWI and platinum implants effectively reduced corneal exposure, though the latter presented fewer complications. MT proved advantageous in terms of accessibility and cost. The elongation technique showed improved aesthetic and functional outcomes, as evidenced by patient satisfaction scores.

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1 OphthaTherapy

1 2024

1 Pojda-Wilczek D.

1 Woś R.

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Levator palpebrae superioris lengthening in the treatment of keratopathy caused by lagophthalmos after orbital inflammation