OCULAR DISORDERS CAUSED BY FACIAL PARALYSIS
Notwithstanding the few cases caused by this disease, most of them show major eye disorders. The eye blinking deficit, the inability to close the eyelids and mechanical alterations of the facial muscles and eyelids, determine a constant tearing and dryness of the ocular surface and may progress to corneal ulcers, infections and loss of vision. Treatment is complex in these cases and requires the collaboration of various health specialists.
Our Oculoplastic Unit has specialized in these disorders by developing treatment guidelines that have proven high efficacy, using muscle stimulation and rehabilitative surgery of the affected areas.
Palpebral aesthetics is one of the most important sections in the field of plastic surgery; the problem is that multiple complications have emerged from the unsuitable application of both indication and technique for each case.
The alteration of the eyelids, excess of skinfolds, bags, etc., can hide other alterations that only an ophthalmologist, expert in oculoplasty, is able to distinguish, and therefore only this eye care professional should perform the study of these patients and any type of surgery when really indicated. Currently, we do an evaluation of the patient to examine the damaged part of the eyelid and selectively perform surgical correction using endoscopic techniques or minimal incision. This procedure is achieved by improving the eye aesthetics without causing secondary damages such as droopy eyelids or excessive removal of skin that may alter the closing of the eyelids and cause dry eyes.