The laxity and tone of the lids is also noted. The position of the tear drainage apparatus and the presence of eyelid deformities are noted. Quantitative measurement of the tear film layer is performed. In many cases patients can be managed medically with topical lubricants. Most patients require lubrication with an ointment at bedtime and possible taping of the lids shut at night.
Some patients require moisture chambers as well.
For patients that fail these medical treatments we offer surgery. The Surgery Over the last several hundred years a wide variety of techniques have been used to rehabilitate patients with facial nerve palsy. Each of these techniques is associated with unique complications. One of the simplest methods of treatment is placement of an externally taped lead weight to the upper eyelid. Should this provide relief to the patient we often times will offer placement of a gold weight inside the upper eyelid.