Canthoplasty for lagopthalmos?

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7 answers to “Canthoplasty for lagopthalmos?”

A: Consult with oculoplastic surgeon.

By William Portuese, MD - Seattle Facial Plastic Surgeon

It is possible to get insurance to cover this since it is of medical necessity in nature. It sounds as though you have got weakness and paralysis of the upper and lower eyelid closure mechanism. A canthoplasty can certainly be performed and the lower lid brought up so that the cornea does not dry out. An... more

A: I am sorry to hear that you are having this difficulty

By J. Timothy Heffernan, MD - Seattle Oculoplastic surgeon

I am sorry to hear that you are having this difficulty. There are a variety of very useful procedures to help you and others. With such complex problems revision procedures are sometimes needed to get the best results for the patient. While every insurance company is different, in our experience many insurance... more

A: canthopexy can be undone and insurance could/should pay for future surgeries

By Jonathan Hoenig, MD - Beverly Hills Oculoplastic surgeon

It's relatively simple to undo the canthopexy which was done in an attempt to improve your situation. To clarify, lagophthalmos is the inability of the eyelids to close completely. This commonly occurs after nerve damge, as is the case with you. The upper eyelid is being managed with the eyelid weight but the... more

A: Cheeklift for lagophthalmos

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

In addition to treatment of the upper eyelid, it may be wise to resuspend the lower eyelid via a cheeklift, especially if a canthopexy has failed in the past. With facial paralysis, the orbicularis (eye closing) muscle is deactivated. The cheek droops, literally like a weight dragging down the lower... more

A: Canthoplasty will not get this job done

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

Dear A McMillen This is a not so uncommon situation. I was able to help a woman with severe facial paralysis following the resection of an acoustic neuroma from the brain stem. She had numerous canthoplasties without success. I was able to make a significant difference for her with a surgery that I have... more

A: Different surgical techniques available for lagopthalmos

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

Canthoplasty is a more powerful procedure that enables the surgeon to have more control on the lower eye lid tension, position, etc. In cases of paralytic ectropion,a combination of upper eye lid gold weight and lower lid reconstruction. Lower lid techniques include canthopexy, canthoplasty, fascia lata or... more

A: Canthoplasty for lagopthalmos

By Peter A. Aldea, MD - Memphis Plastic Surgeon

Dear Amcmillen, I am truly sorry to hear of your predicament. Paralytic lagopthalmos (the inability of bringing the eyelids together) is a very challenging surgical problem. In your case, it SOUNDS as if both the upper and lower lids are compromised. Since tucking the side corner of the eyelid tighter to the... more