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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 12, Issue 3, September 2014 pp 514-516

Research Article

Surgical and functional outcome of lateral canthal tarsorrhaphy in unilateral paralytic lagophthalmos

Kavita A Dhabarde1, A H Madan2

1Assistant Professor, 2Professor and HOD, Department of Ophthalmology, Government Medical College Nagpur, Maharashtra, INDIA.


Ten patients having unilateral infranuclear 7th nerve palsy with lagophthalmos of different age group and different aetiology underwent lateral canthal tarsorrhaphy to prevent progression of and treatment of severe exposure keratitis in tertiary eye care centre at Govt. Medical College and Hospital, Nagpur. Patients were advised local lubricants, antibiotics. Nearly all pts showed improvement in lid closure, epiphora and keratitis. Lat. tarsorrhaphy supported the lower lid with not much cosmetic disfigurement of the eyeball. Only in a single case the ulcer perforated. Lateral tarsorrhaphy is a good option for poor patients having infranuclear Bell’s palsy with severe exposure keratitis who cannot afford to go for temporalis transplant.