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Mark May, MD

Arch Otolaryngol Head Neck Surg. 1987;113(6):656-660.

Abstract
• Tarsorrhaphy has been the classic method of providing corneal protection in patients with eyelid paralysis. However, tarsorrhaphy is cosmetically unsatisfactory, limits vision, and provides poor corneal protection. The results of implanting 94 gold weights and 139 wire springs in 202 patients over a period of eight years have shown that these methods can provide good corneal protection in selected patients without the shortcomings of tarsorrhaphy. The gold weights worked best for patients with lid paresis, whereas the spring was most effective in patients with total eyelid paralysis. In selected patients these techniques reestablished a voluntary blink and provided corneal protection without the limitations of tarsorrhaphy. This report describes patient selection, surgical technique, and advantages as well as limitations of gold weight or spring implantation.

(Arch Otolaryngol Head Neck Surg 1987;113:656-660)

Author Affiliations
From the Department of Otolaryngology, University of Pittsburgh School of Medicine.

Footnotes
Accepted for publication Dec 15, 1986.

Read before the 1986 Regional Meeting, Eastern Section, of the American Academy of Facial Plastic and Reconstructive Surgery, Philadelphia, Jan 30, 1986.

Reprint requests to 3600 Forbes Ave, Suite 208, Pittsburgh, PA 15213 (Dr May).

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