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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


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


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


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.


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.


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

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