Lagoftalmus Tedavisinde Kişiye Özel Altın İmplant Deneyimleri

Abstract

Amaç: Lagoftalmi, göz kapaklarının tam olarak kapanamaması olarak tanımlanır. Bu durum epitel defektleri, korneal ülserasyon, maruz kalma keratiti, bakteriyel enfeksiyon, perforasyon ve körlük gibi kornea sorunlarına yol açabilir. Lagoftalminin statik tedavilerinden birisi göz kapağına altın implant yerleştirilmesidir. Gereç ve Yöntemler: Retrospektif olarak; lagoftalmi nedeniyle üst göz kapağına altın implant uygulanan 18 hastanın tümü çalışmaya dahil edildi ve medikal kayıtları incelendi. Bulgular: Hastaların ortalama yaşı 45,4 yıl (7-72) idi. Erkek / kadın oranı 11/7 olarak izlendi. Lagoftalminin en yaygın nedeni olgularımızda intrakraniyal kitleydi (% 38,8) ve konjenital yüz felci, Bell’s felci, trafik kazası izledi. Altın implantın ortalama ağırlığı 1,56 gr ve 1,3-1,8 gr aralığındaydı. Ortalama takip süresi 68,5 ay (17-131) idi. On sekiz hastadan 17'si operasyonun sonucundan memnun kaldı ve ekstrüde implant sonrası reimplantasyon yapılan hastalar da dahil olmak üzere, son takiplerinde yeterli kapak kapatılması sağlandı. Sonuç: Her ne kadar günümüzde platin implantlar popülarize olmaya başlamışsa da, altın implant ile üst kapak ağırlık uygulamalarının lagoftalmi tedavisinde kabul edilebilir morbiditeler ile etkili ve güvenilir bir yol olduğunu düşünüyoruz.

Keywords

• Lagoftalmus
• Altın
• implant
• paralizi

Custom-Made Gold Implant Experiences in Lagophthalmos Treatment

Abstract

Objective: Lagophthalmos is defined as the inability of the eyelids to close completely. This condition can lead to corneal problems such as epithelial defects, corneal ulceration, exposure keratitis, bacterial infection, perforation, and blindness. One of the static treatments for lagophthalmos is the placement of gold implants in the eyelid. Material and Methods: Retrospectively, all 18 patients who received gold implants in the upper eyelid due to lagophthalmos were included in the study, and their medical records were reviewed. Results: The average age of the patients was 45.4 years (7 to 72). The male/female ratio was observed as 11/7. The most common cause of lagophthalmos in our cases was intracranial mass (38.8%), followed by congenital facial paralysis, Bell's palsy, and traffic accidents. The average weight of the gold implant was 1.56 g and ranged from 1.3 to 1.8 g. The median follow-up time was 68.5 months (17 to 131). 17 of 18 patients were satisfied with the outcome of the operation and adequate valve closure was achieved at their final follow-up, including patients who underwent reimplantation after extruded implant. Conclusions: Although platinum implants have become popular today, we think that upper-lid weight application with gold implants is an effective and reliable way to treat lagophthalmos with acceptable morbidities.

Keywords

• lagophtalmus
• gold
• implant
• paralysis

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