Abstract

Surgical reconstruction of the upper lid due to lagophthalmia is necessary. Lagopththalmia can be caused by trauma, inflammation, or congenital. Lagophthalmia with unclosed eyelid can be affected patient’s vison. Herpes Zoster ophthalmicus is an ocular disease that usually manifests as a unilateral painful skin rash in a dermatomal distribution of the trigeminal nerve shared by the eye and ocular adnexa. All of age can be occured by HZO but it is typically in older adults. In case of latent varicella-zoster virus (VZV) is reactive HZO can occurs within the sensory spinal or cerebral ganglia. Bell’s palsy (facial palsy) is characterized by facial drooping on the affected half, due to malfunction of the facial nerve. With lagophthalmia 2 problems are faced: esthetics and functional views. Reconstruction of the upper lid is satisfied both esthetic and functional views. A technique for reconstruction of the upper lid on these patients was proposed and described in detail as below. Three cases were selected in this case study. The first is loss of the upper lid by trauma. The last 2 cases are lagophthalmos with Bell’s paralysis and lagophthalmos caused by the contracted scar of the upper lid. All of these cases had been used as a simple new surgical technique with some advantages are discussed. The results and some consideration on HZO are reported herein.

Keywords:Surgical reconstruction; New technique; Upper lid; Lower lid; Lagopththalmia; Trauma