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Partial tarsorrhaphy helped with Botulinum Toxin-A in treatment of ocular surface exposure secondary to neurosurgery

Poster Details

First Author: J.Torres-Peña SPAIN

Co Author(s):    A. Ortueta   A. Palacios Hipola   P. Cano Rovirosa   B. Sarmiento Torres   A. Bengoa   M. Suarez     

Abstract Details

Purpose:

To describe a case series of patients treated with partial Tarsorrahaphy and Botulinum Toxin in VII, V cranial nerve lesions secondary to neurosurgery.

Setting:

12 de Octubre University Hospital, Complutense University, Madrid, Spain

Methods:

Four patients diagnosed with intractable corneal exposure secondary to facial nerve palsy after neurosurgical procedure received an injection of 10 U of BOTOX flacon® elevator palpebrae muscle . Then, medial partial tarsorrhaphy was performed with two points in U with silk 2/0 placed 1 mm below the lid root in the lower eyelid and 1 mm superior to that root in the upper eyelid are fixed on a silicone tube.

Results:

After 12 months of follow the ocular symptoms were satisfactorily treated and corneal reepithelializations were achieved and maintained postoperatively in all patients. However 1 patient had a several thinning and is waiting for a penetrating keratoplasty.

Conclusions:

We concluded than the combination of these techniques could be useful in patients with aggressive corneal exposure, especially after direct cranial nerve injury.

Financial Disclosure:

NONE

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