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Semin Plast Surg. 2004 February; 18(1): 31–38.
PMCID: PMC2884694
Facial Paralysis
Guest Editor Susan E. Mackinnon M.D.

Ophthalmic Management of the Facial Palsy Patient


The management of the ocular sequelae of facial palsy should be individualized for each patient. The patient's age, ocular motility, tear production, and corneal sensation are considered when developing a treatment plan. Individuals with transient weakness often require only therapy with topical lubricants. Permanent or chronic facial paralysis is usually associated with lagophthalmos, ectropion, and exposure keratitis. Both “static” and “dynamic” procedures can be performed to improve these conditions. Combined eyelid surgery and suspension of the midface often provides the best result. However, patients with permanent facial palsy usually suffer chronic ocular symptoms, requiring long-term follow-up and continued topical therapy.

Keywords: Lagophthalmos, paralytic ectropion, exposure keratopathy

Articles from Seminars in Plastic Surgery are provided here courtesy of Thieme Medical Publishers