Semin Plast Surg 2004; 18(1): 31-38
DOI: 10.1055/s-2004-823121
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Ophthalmic Management of the Facial Palsy Patient

Philip L. Custer1
  • 1Department of Ophthalmology and Visual Sciences, Washington University, St. Louis, MO
Further Information

Publication History

Publication Date:
20 April 2004 (online)

The management of the ocular sequelae of facial palsy should be individualized for each patient. The patient's age, ocular motility, tear production, and corneal sensation are considered when developing a treatment plan. Individuals with transient weakness often require only therapy with topical lubricants. Permanent or chronic facial paralysis is usually associated with lagophthalmos, ectropion, and exposure keratitis. Both “static” and “dynamic” procedures can be performed to improve these conditions. Combined eyelid surgery and suspension of the midface often provides the best result. However, patients with permanent facial palsy usually suffer chronic ocular symptoms, requiring long-term follow-up and continued topical therapy.


Philip L Custer, M.D. 

Department of Ophthalmology, Washington University School of Medicine

660 S. Euclid Avenue, Box 8096

St. Louis, MO 63110