what to expect after getting weights in your eye
Eyelid weights effective for ocular complications due to facial palsies
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Eyelid weights for patients unable to close their eyes take been shown to be effective in combating corneal decompensation, visual acuity loss and a reliance on artificial tears.
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| Blinkeze External Chapeau Weights: The weights are attached to the upper eyelid using a double-sided, hypoallergenic EyeClose adhesive strip. |
Both external and implantable eyelid weights can be used to address ocular exposure associated with facial palsies and facial paralysis frequently caused by tumor, trauma, infection, surgery, ischemia and idiopathic Bell's palsy. Based in Sunnyvale, Calif., MedDev Corp. has been providing implantable eyelid closure weights since 1969 and temporary external weights since 1995.
Richard Jobe, MD, one of the founders of MedDev and a erstwhile professor of plastic surgery at Stanford University, described one of his patients who did non want surgery. "The external eyelid weights assist manage her permanent facial paralysis," Dr. Jobe told Primary Intendance Optometry News.
External eyelid weights
Bell'southward palsy patients who come to the optometrist's office often have temporary facial palsies non requiring a permanent surgical implant of the weights. "A number of Bong'due south palsy patients suffer for various lengths of time, and they would be really expert candidates for this extra weight," Dr. Jobe said.
Stuart R. Seiff, MD, professor of ophthalmology, Academy of California, San Francisco and manager of ophthalmic plastic and reconstructive surgery, chief of ophthalmology, San Francisco General Infirmary, agreed with Dr. Jobe that the external weights, which are prescription medical devices, are oftentimes used for temporary situations.
"Many researchers believe Bell'south palsy is the result of a viral infection affecting the facial nervus," Dr. Seiff said in an interview. "The facial paralysis usually lasts just a few months, so we wouldn't want to do a surgical procedure to deal with a temporary situation."
Until recently, MedDev has been marketing almost exclusively to ophthalmic plastic surgeons who bargain with facial paralysis, explained Dr. Jobe. The company has realized that because a number of patients benefit from the temporary use of eyelid weights and never need surgery, MedDev Corp. should expect towards optometry as well.
Dr. Seiff explained, "Patients who are fitted with the external weights for temporary relief still need to be followed closely for corneal decompensation and may need surgical treatment as well if they decompensate."
Attaching external weights
Blinkeze Treatment Kit: The kit contains the selected weight, 100 double-sided, hypoallergenic adhesive strips for application, a mirror and patient instructions.
The external weights, adult by MedDev, are made of tantalum and are painted in a skin tone on the weight's exposed side to enhance a patient's appearance or approximate a patient's complexion. The weights are fastened to the upper eyelid using a double-sided, hypoallergenic EyeClose agglutinative strip. The weights are supplied to patients with the record so they can apply and reapply them at habitation. Patients are able to habiliment them for several days at a fourth dimension earlier having to supervene upon the tape.
"If it works, it works well. A patient can often leave the weights on for several days at a time," Dr. Seiff said. Elderly patients without the dexterity to handle the tape sometimes present a challenge, he added.
Every bit another option for such patients, Dr. Seiff has explored the possibility of using an isobutyl cyanoacrylate tissue agglutinative with the weights. The gum can exist used in the office equally an off-label awarding, simply it is non approved for individual sale with the weights for at-home patient use.
Loose upper eyelid peel may also make wearing the weights difficult for some patients, Dr. Seiff added.
In a report conducted by Dr. Seiff and colleagues (Seiff South, Boerner M, Carter S. Treatment of facial palsies with external eyelid weights. American Journal of Ophthalmology. 1995;120:652-657), the researchers concluded that in the handling of ocular exposure associated with facial paralysis, the external weights decreased corneal exposure, decreased reliance on artificial tears and increased patient comfort. The weights were also helpful for some patients as a trial before implantation of eyelid weights every bit a longer-term treatment modality.
Internal eyelid weights
More xxx years ago, Dr. Jobe adult a system of using different levels of internal eyelid weights to arrange the diverse muscle strengths and patient conditions. The implanted weights, which are made of golden, are surgically positioned in the eyelid nether a local anesthetic, he said. The process is likewise reversible.
Dr. Seiff is currently working on a report that shows that the implanted weights rarely extrude before 5 years. "Even when you expect at patients out to 15 years, the extrusion rate is only about 30%," he said. "Patients with the implanted weights take been able to greatly reduce the corporeality of artificial tears and ointments that they demand in terms of maintaining comfort and the health of their corneas."
For Your Data:
- Richard Jobe, MD, can exist reached at (831) 438-4995; fax: (831) 438-1494; electronic mail: rpjobe@stanford.edu.
- Stuart R. Seiff, Md, can be reached at 1001 Potrero Ave., Room 4M31, Box 0870, San Francisco, CA 94110-0870; (415) 353-2142; fax: (415) 206-6122.
- MedDev eyelid closure products are available from MedDev Corp., 730 Northward Pastoria Ave., Sunnyvale, CA 94085-3522; (408) 730-9702; fax: (408) 730-9732; www.meddev-corp.com.
Source: https://www.healio.com/news/optometry/20120225/eyelid-weights-effective-for-ocular-complications-due-to-facial-palsies
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