The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Convergent squint

Photo by Professor Chua Chung Nen

This woman underwent a left acoustic neuroma excision. Post-operatively, she developed right lower facial nerve palsy. She complained of right ocular pain and blurring of vision. Examination revealed corneal exposure with poor lid closure. However, the corneal sensation was normal. She was started on lubricant and antibiotic cream and lateral tarsorrhaphy was performed to reduce the exposure.

 

Left lower facial nerve palsy made obvious by getting the patient to blow her mouth and close

her eyes. Despite good Bell's phenomenon, corneal exposure could be seen.

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