LPS recession in permanent 7th nerve palsy to protect cornea
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 4
Abstract
Aim: To study the effect of LPS recession in permanent 7th nerve palsy to protect cornea. Materials & Methods: This is a Prospective interventional study conducted at the Department of Oculoplasty and Orbital diseases of Sarojini Devi Eye Hospital which is attached to Gandhi Medical College between 2012-2014. 36 eyes of 33 patients who had lagophthalmos due to permanent type of 7th nerve palsy were included in the study. Patients who had temporary type of facial palsy like Bell’s palsy and those patient with permanent palsy having paralytic ectropion and patients who already underwent any procedure to correct lagophthalmos were excluded from the study. All patients were clinically examined to establish the cause of lagophthalmos. MRD1, amount of Lagophthalmos was measured and exposure keratopathy was documented by staining cornea with Flourescien sodium. Surgical profile was done in all patients. LPS recession was done under local anaesthesia. Patients were followed up on 1st day, 1st week, 2nd week and 4th week after LPS recession. On every visit MRD1, amount of lagophthalmos was measured and corneal staining was done to see the healing effect. Results: There was mean reduction of 3.89 mm in MRD1 and 5.47 mm in the amount of lagophthalmos in all cases after 1st week. At the end of 2nd week all cases started showing healing of cornea. By the end of 4th week 28 cases showed total healing of exposure keratopathy. Only 8 cases showed non-healing of cornea after 4th week. These cases had neurotrophic keratopathy because of Hansens. Discussion: LPS recession achieve results similar to Gold weight implant. It is cheap and can be used as an alternative to gold weight implant.
Authors and Affiliations
Mohammed Ather, Kesava Rao, MR Flarence, T. Sai Shreya, Raheel Raza
Keywords
Related Articles
- EP ID EP243771
- DOI -
- Views 107
- Downloads 0
A prospective randomised double blinded study to compare the efficacy of a combination of dexamethasone and lignocaine with lignocaine in external dacryocystorhinostomy
External Dacryocystorhinostomy (DCR) was first described by Toti in 1904 and subsequently modified by Dupuy Dutemps and Bourguet in 1921.(1) It can be performed under local or general anaesthesia. Local anaesthesia in DC...
Crouzon Syndrome: A case report with review of literature
Crouzon syndrome is a rare congenital malformation of cranium and face. It is an autosomal dominant disorder characterized by premature fusion (craniosynostosis) of coronal and sagittal sutures leading to craniodentofaci...
Ectopic cilia: A rare entity
Ectopic cilia are rare in human. Only few cases have been reported till now. We report first case of ectopic cilia from Garhwal region of Uttarakhand, India. Our case was a 10 year old boy, having ectopic cilia on the pa...
Unilateral intra-orbital pseudo tumor in infant- a rare entity with review of literature
"Pseudo tumor" is an idiopathic orbital inflammatory disease characterized by non-specific inflammation involving the orbit. This condition being non-infectious, and non-neoplastic disease with unknown etiology. After th...
Bilateral ectropion in collodion baby - Three case reports
The term lsquoCollodion babyrsquo is used for the newborns who are born in a parchment like membrane which is shiny taut waxy and appears like an extra layer of skin that has a collodionlike quality covering the whole bo...