Gold Eyelid Weights

asked 2 years ago by anon
Latest answer by Keshini Parbhu, MD
Question viewed 813 times
Tags: age 35-44, eyelids, male, lagophthalmos

I have trouble getting my eyelids fully closed. Doing internet research I have found information about a problem callled lagophthalmos. If this is what I have wrong, is the only or best procedure add gold eyelid weights? Appreciate your help.

5 answers to Gold Eyelid Weights

Eyelid weights, gold or platinum, or springs for lagopothalmos

There are many options for this and the correction may vary on the surgeon's preference. Believe it or not gold weights are the standard but platinum weights are also available and some claim they are superior. The main problem with weights is that they depend on gravity. They work well when sitting or standing but sometimes they can hold the eye open when laying down. Other surgeons prefer the use of springs which can keep the eyes closed whether sitting or standing. However, springs can... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Lagophthalmos

There are different solutions for surgically managing lagophthalmos and it depends on why you have it. For this, you would need an evaluation to determine the best way to correct it.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon

www.orlandoeyeopener.com

Lagophthalmos cause needs to be determined

First and foremost, the cause of the lagophthalmos needs to be determined. This can be caused by benign things but also by causes that need to be researched. If you are having a bell's or facial nerve palsy that may need to be worked up. Also if there is something infiltrating into the lower eyelid..again something that a physician needs to determine the cause. The bottom line is that I wouldnt get a gold weight until the cause of the lagophthalmos is determined. more

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon

Problem in the muscle, nerves, or other factors ?

Lagopthalmos is a very wide diagnosis that include many factors. Think about the eye lid closure mechanism as an engine that controls the movement of the lids. If there difficulty in eye closure the problem could be in the engine (the muscle), the wiring (the nerves), the lower lid malposition, or other factors. Gold weights are one of the options in paralytic lagopthalmos (wiring problem). A proper examination by a board certified plastic surgeon with additional training in occuloplastic... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

Eyelid Closure and gold weights

Gold weights are good solution but are usually only used if you have a facial palsy (paralysis). The big question is why can"t you close your eyelids at night? Have you had a trauma, congenital problem, previous surgery or scar tissue ? Sometimes these things need to be evaluated and addressed to figure out the best solution. Often the problem can be treated without surgery with the use of ophthalmic lubricating ointment at bedtime. See your local Oculofacial Plastic Surgeon for a... more

Janet M. Neigel, MD
West Orange Oculoplastic Surgeon

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