Combined Surgical Treatment of Ocular Complications Developing from Facial Nerve Palsy: Case Report

Abstract

A 71-year-old man who had developed right facial nerve palsy after acoustic neuroma resection was referred to our eye clinic with ocular complications. Due to the brow ptosis, he could not open his right eye properly. There were ocular surface problems as a result of incomplete closure of the upper eyelid over the cornea. He complained of epiphora resulting from paralytic ectropium. Surgical procedures performed at the same session were right brow suspension, 0.8 g gold weight implantation into the right upper eyelid, lateral canthoplasty, and horizontal lid shortening of the right lower eyelid. After the surgery, improvements of his complaints were satisfying. As a conclusion, in the treatment of more than one ocular complication developing from facial nerve palsy, combined surgical procedures may be performed in terms of both functional and aesthetics improvements. (Turk J Ophthalmol 2013; 43: 368-70)

Keywords

• Facial nerve palsy
• ocular complications
• gold weight implantation
• combined surgery