Management of Ocular Problems After Facial Nerve Palsy

Ceyhun ARICIa, Burak MERGENb
aİstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Ophthalmology, İstanbul, Türkiye
bHealth Sciences University Başakşehir Çam and Sakura City Hospital, Clinic of Ophthalmology, İstanbul, Türkiye

Arıcı C, Mergen B. Management of ocular problems after facial nerve palsy. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.244-9.

Article Language: EN

ABSTRACT
Facial nerve palsy (FNP) is the disturbance of the 7th cranial nerve (facial nerve) secondary to central or peripheral incidents. It can develop due to various etiologies and after the exclusion of all possible etiologies, Bell’s palsy is diagnosed. The most important complication of FNP is its ocular complications. It causes lagophthalmos leading to the disturbance of the eyelid blink dynamics and if left untreated, it may result in exposure keratopathy that may also lead to severe sight-threatening complications such as spontaneous corneal perforation. Although topical lubricants and medical treatment strategies might be sufficient in its early phase or mild forms, surgical options such as persistent or temporary tarsorrhaphy, upper eyelid loading, lower eyelid tightening procedures, etc. may also be preferred for the severe, chronic, or persistent cases. However, revealing and treating the underlying etiology is as important as the management of ocular complications. Furthermore, for the management of ocular complications due to FNP, coordination among ophthalmologists, otorhinolaryngologists, plastic and reconstructive surgeons, and patients is very important.

Keywords: Corneal ulcer; ectropion; eye; facial paralysis; keratitis

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