Facial nerve palsy
with eyelid retraction
Photo by Professor Chua
This 63 year-old had been
suffering from an uncomfortable left eye following acoustic neuroma excision
ago. He had good Bell's phenomenon and the discomfort was due to conjunctival exposure as a result of poor lid closure.
He had a lateral tarsorrhaphy performed 3 years. We performed a medial
canthoplasty which reduced the exposure but the discomfort remained significant. He was
advised to have either an upper lid gold weight implantation or mullectomy to
improve the upper eyelid closure. He favored the later and mullectomy was performed
via a posterior approach. Post-operatively, the ocular discomfort was much improved.
Conjunctival expsoure before
surgery. Note previous medial canthoplasty and
Reduced exposure one week after