Eyelid in Facial paralysis

Causes and symptoms

The seventh cranial nerve (facial nerve) supplies the circular muscle around the eye and other important facial muscles. There are a number of different causes Paralysis can have a variety of causes, including diabetes, multiple sclerosis, tick bite disease (Lyme disease), accident, tumor or infection. Paralysis may also persist since birth or may be temporary following vaccination. However, in more than 50% of cases, no cause can be found. Medicine then speaks of “idiopathic facial paralysis”.

The typical symptom of the eye is the incomplete eyelid closure (lagophthalmos): the lower eyelid is deeper than normal and the circular muscle does not receive enough orders from the nerves to completely close the eye.

If a facial paralysis has occurred only recently, then only the dry eye should be treated and it should be awaited whether the paralysis returns by itself. However, if the paralysis has been around for some time, the prospects for spontaneous recovery are small. Then the eyelid closure function should be improved for medical reasons, as there is a permanent eye irritation, which in extreme cases can lead to a corneal ulcer and complete vision loss.

The operation

Depending on the extent of facial nerve paralysis, one or two operations are needed:

  • Lateral block: to tighten the lower eyelid. The operation is identical to the operation of ectropium.
  • Gold weight in the upper eyelid: If there is a pronounced weakness of the eyelid, a small gold plate can be sewn into the upper eyelid. This comes under the skin to lie and is barely recognizable. The idea of ​​this plate is to help the upper lid by an additional weight (about 1 gram) to close correctly. How high the weight of the plate must be, we can determine before the operation.
Before
After

Risks and complications

Although infections of the wound area may occur, they are extremely rare after this type of eyelid surgery and are treated with antibiotics.

A complete cosmetic normalization of the lid position can not be achieved because the facial nerve is still paralyzed. The aim is to ensure eyelid closure in order to prevent serious diseases of the cornea.

The ELZA Institute

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Augeninstitut ELZA
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Squitieri Elias
Squitieri Elias
12:43 08 Sep 21
Die Behandlungen waren bei mir erfolgreich, alle waren sehr nett und haben mein Leben vereinfacht.Danke
Eliane Bossart
Eliane Bossart
13:01 05 Sep 21
Vor einem Jahr war ich einer ganz verzweifelten Situation und total im Stich gelassen. Meine Augen wurden aufgrund... eines ausgeprägten Kerakotonus immer schlechter, ich hatte Angst und war alleine mit meinen Problemen. Zudem vertrug ich die Kontaktlinsen nur noch ganz schlecht und hatte jeden Tag Schmerzen.Professor Hafezi hat mir mit zwei Operationen wieder das auf Grund der Situation mögliche an Lebensqualität zurückgebracht. Es war ein starpaziöses Jahr mit vielen Entbehrungen aber es hat sich gelohnt! Herzlichen Dank fuer die Unterstützung.read more
Gabriela Meyer
Gabriela Meyer
18:32 22 Aug 21
Ich wurde von meiner Optikerin auf Prof. Dr. Dr. Hafezi aufmerksam gemacht. Es war mir vorher nicht bewusst, dass meine... Augenkrankheit (Keratokonus) operativ mittels Cross Linking behandelt und so gestoppt werden kann. Die Beratung und Behandlung war sehr kompetent und ich fühlte mich jederzeit wohl. Die Operation verlief gut und das Ergebnis ist einwandfrei.read more
Naomi
Naomi
11:38 11 Aug 21
Ich bin sehr glücklich, dass ich das Elza Institute gefunden habe. Ich wurde von anderen Augenärzten abgewiesen, da... meine Augen zu kompliziert/schwierig zu behandeln waren. Prof. Dr. Dr. Hafezi konnte mir jedoch helfen und ich bin sehr glücklich und zufrieden mit dem Resultat. Vielen Dank!read more
Till B
Till B
08:30 19 Jul 21
Ich habe eine überaus kompetente Beratung und Behandlung erlebt. Die gesamte Betreuung war sehr freundlich und... professionell. Herzlichen Dank!read more
Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
Selma A. Rahim
Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
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Augeninstitut ELZA
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Based on 90 reviews
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