Lagophthalmos

Lagophthalmos is a condition in which the eyelids are unable to close completely, leaving the eye exposed and unprotected. This can lead to a variety of symptoms, including dry eyes, irritation, and even vision loss.

Symptoms of Lagophthalmos can vary depending on the severity of the condition. They can include dry eyes, itching, redness, blurred vision, and even double vision. In severe cases, the eye may be exposed to air and light during sleep, leading to corneal damage and inflammation.

Diagnosis of Lagophthalmos is typically made through a physical examination, during which the physician will look for signs of eyelid malposition and assess the affected area for any changes in skin texture or color. They may also use a special instrument called a caliper to measure the distance between the cornea and the eyelid. Other diagnostic tests that may be used include eyelid photography, which uses a special camera to capture images of the eyelids, and corneal topography, which uses a special device to map the shape of the cornea.

Treatment for Lagophthalmos can vary depending on the underlying cause of the condition, but common treatment methods include eyelid surgery, also known as blepharoplasty. This procedure involves repositioning the eyelids to their proper position. In some cases, additional procedures, such as Botox injections, or temporary eyelid taping, may be used to help the eyelids heal. In some cases, the use of punctal plugs, which are small devices inserted into the tear ducts to reduce tear drainage and prevent dry eyes, can also be useful.