To report a novel approach for managing persistent lagophthalmos and eyelid contour abnormality after initial gold weight implantation. OBSERVATIONS: Paralytic lagophthalmos is defective eyelid closure due to facial nerve damage. One common, effective treatment is lid loading with eyelid weights....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this is an ophthalmology case report relevant only to surgeons managing facial nerve palsy complications.
Lagophthalmos can be a complication of facial nerve palsy following skull-base or otologic surgery, so awareness of evolving eyelid management techniques has peripheral relevance for interdisciplinary teams.
- 01Case report of multiple gold weight implants used to correct persistent lagophthalmos and eyelid contour issues.
- 02Novel approach extends beyond the standard single gold weight implantation technique.
- 03Published in the American Journal of Ophthalmology Case Reports (2026).
- 04Lagophthalmos can arise as a complication of facial nerve palsy in otologic/skull-base surgery patients.
- 05Evidence is limited to a single case; generalizability is unknown.
Multiple gold weight implants can treat persistent lagophthalmos and improve eyelid contour after initial single gold weight implantation.
studypartially supported- PMID
- 42502365
- DOI
- 10.1016/j.ajoc.2026.102627.
- Journal
- American Journal of Ophthalmology Case Reports
- Publication type
- case_report
- Evidence level
- 4
- Population
- Patient(s) with persistent lagophthalmos and eyelid contour abnormality after initial gold weight implantation
- Intervention
- Multiple gold weight eyelid implants
- Comparator
- Prior single gold weight implant
Primary outcomes
Resolution of lagophthalmos; Improvement in eyelid contour