Effectiveness of the Lower Eyelid Suspension Using Fascia Lata Graft for the Treatment of Lagophthalmos due to Facial Paralysis

Figure 2

(a) Female patient aged 19, with lower eyelid retraction and increased sclera show distance following facial paralysis on the left side (scleral show: lower lid margin-limbus). (b) Lower eyelid marked according to the desired postoperative shape. (c) With medial and lateral incisions, the anterior leg of the inner canthal tendon at the medial and lateral orbital bone rim at the lateral was exposed. (d) A hole was formed on the lateral orbital bone wall by tour motor. (e) Fascia lata fixed on the inner canthal tendon was passed through the bed formed on the lower lid tars and brought to the lateral. Then, it was passed through the hole on the lateral orbital bone and fixed. (f) The same patient at postoperative month 6. Lower lid margin-limbus distance zero.

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