Corneal Topography With Upper Eyelid Platinum Chain Implantation Using the Pretarsal Fixation Technique
Medical hypothesis discovery and innovation in ophthalmology,
Vol. 4 No. 1 (2015),
1 March 2015
,
Page 9-13
Abstract
Purpose: To determine the effect of upper eyelid platinum chain implantation, with the pretarsal fixation technique, on corneal astigmatism.Methods: This is a prospective, cohort study. Fifteen eyes of 15 patients underwent upper eyelid platinum chain implantation, with the pretarsal fixation technique, for facial nerve palsy. Information recorded included patient demographics, etiology for facial palsy, weight of the implant, time from onset of paresis to upper eyelid platinum chain implantation, associated surgical procedures, and preoperative and postoperative corneal topography measurements.
Results: Of the 15 patients studied, 10 were male and five were female. The mean age was 55.9 ± 13.8 years (range, 33–87 years). The most common etiology for facial palsy was acoustic neuroma. The weight of the implant ranged from 0.6 to 1.6gr (median 1.2gr). The time from onset of paresis to upper eyelid platinum chain implantation varied from 1 week to 3 months (median 1 month). Four patients had an associated procedure to correct the effect of paralytic ectropion. There was no statistically significant difference in with the rule astigmatism before and after platinum chain implantation.
Conclusions: Upper eyelid platinum chain implantation, with the pretarsal fixation technique, does not appear to cause significant change in corneal astigmatism. This is contrary to data for pretarsal gold weight implantation, which does induce significant with the rule astigmatism.
References
Sheehan JE. Progress in correction with facial palsy with tantalum wire and mesh. Surgery 1950;27(1):122-5. PMID:15402896
Smellie GD. Restoration of the blinking reflex in facial palsy by a simple lid-load operation. Br J Plast Surg 1966;19(3):279-83. PMID:4952288
Illig KM. [A new method of lagophthalmos surgery.]. Klin Monatsbl Augenheilkd 1958;132(3):410-1. PMID:13550783
Barclay TL, Roberts AC. Restoration of movement to the upper eyelid in facial palsy. Br J Plast Surg 1969;22(3):257-61. PMID:5387145
Jobe RP. A technique for lid loading in the management of the lagophthalmos of facial palsy. Plast Reconstr Surg 1974;53(1):29-32. PMID:4809552
May M. Gold weight and wire spring implants as alternatives to tarsorrhaphy. Arch Otolaryngol Head Neck Surg 1987;113(6):656-60. PMID:3566950
Chapman P, Lamberty BG. Results of upper lid loading in the treatment of lagophthalmos caused by facial palsy. Br J Plast Surg 1988;41(4):369-72. PMID:3395768
Sobol SM, Alward PD. Early gold weight lid implant for rehabilitation of faulty eyelid closure with facial paralysis: an alternative to tarsorrhaphy. Head Neck 1990;12(2):149-53. PMID:2312280
Berghaus A, Neumann K, Schrom T. The platinum chain: a new upper-lid implant for facial palsy. Arch Facial Plast Surg 2003;5(2):166-70. PMID:12633207
Mavrikakis I, Beckingsale P, Lee E, Riaz Y, Brittain P. Changes in Corneal Topography With Upper Eyelid Gold Weight Implants. Ophthal Plast Reconstr Surg 2006;22(5):331-4. PMID:16985413
Mavrikakis I, Malhotra R. Techniques for upper eyelid loading. Ophthal Plast Reconstr Surg 2006;22(5):325-30. PMID:16985412
Ugurbas SH, Zilelioglu G. Corneal topography in patients with congenital ptosis. Eye 1999;13 ( Pt 4):550-4. PMID:10692929
Robb RM. Refractive errors associated with hemangiomas of the eyelids and orbit in infancy. Am J Ophthalmol 1977;83(1):52-8. PMID:835667
Bogan S, Simon JW, Krohel GB, Nelson LB. Astigmatism associated with adnexal masses in infancy. Arch Ophthalmol 1987;105(10):1368-70. PMID:3662910
Cosar CB, Rapuano CJ, Cohen EJ, Laibson PR. Chalazion as a cause of decreased vision after LASIK. Cornea 2001;20(8):890-2. PMID:11685074
Chepeha DB, Yoo J, Birt C, Gilbert RW, Chen J. Prospective evaluation of eyelid function with gold weight implant and lower eyelid shortening for facial paralysis. Arch Otolaryngol Head Neck Surg 2001;127(3):299-303. PMID:11255475
Schrom T, Habermann A, Wernecke K, Scherer H. [Implantation of lid weights for therapy of lagophthalmos]. Ophthalmologe 2005;102(12):1186-92. PMID:15886988
Caesar RH, Friebel J, McNab AA. Upper lid loading with gold weights in paralytic lagophthalmos: a modified technique to maximize the long-term functional and cosmetic success. Orbit 2004;23(1):27-32. PMID:15513017
Saleh GM, Mavrikakis I, de Sousa JL, Xing W, Malhotra R. Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Ophthal Plast Reconstr Surg. 2007;23(5):381-3. PMID:17881989
- Abstract Viewed: 2509 times
- Full Text PDF Downloaded: 3082 times