Lagophthalmos: Causes & Reasons

Possible Causes for Lagophthalmos

A proptotic eye not adequately protected by the lids, as with lagophthalmos, can develop exposure punctuate keratopathy. [emedicine.com]

These multi traumatized patients present with marked exophthalmos, lagophthalmos, and secondary xerophthalmia. Injury of the globe is often involved. [vin.com]

Sequelae of proptosis include blindness, strabismus, lagophthalmos, sensory deficit of the cornea, keratoconjunctivitis sicca, exposure keratitis, glaucoma, and phthisis bulbi [vin.com]

Facial Palsy

We speculate that corneal irritation caused by lagophthalmos contributes to the induction of blepharospasm. [ncbi.nlm.nih.gov]

[…] acoustic neuroma: damage to nerve by tumour or secondary to surgical trauma; also perineural invasion by a squamous cell carcinoma) Ectropion or Entropion Other causes of lagophthalmos [college-optometrists.org]

Also, a Bell’s palsy patient may need eye protection, as patients who are dealing with total facial paralysis sometimes struggle to close their eyes completely (lagophthalmos [facialparalysisinstitute.com]

Melkersson-Rosenthal Syndrome

Associated ophthalmic symptoms include lagophthalmos, blepharochalasis, swollen eyelids, burning sensation of the eyes, corneal opacities, retrobulbar neuritis, and exophthalmos [medical-dictionary.thefreedictionary.com]

In thyroid orbitopathy, eyelid retraction and lagophthalmos often accompany bilateral eyelid edema. The skin may be erythematous, but is not thickened. [annsaudimed.net]

The remainder of her ocular examination results were normal; proptosis and lagophthalmos were absent. [jamanetwork.com]

Congenital Upper Palpebral Retraction

C - In downward gaze there is less lagophthalmos. Peters3 reported four generations with bilateral lagophthalmos. [healio.com]

In fact, it might even result in disastrous corneal complications due to significant lagophthalmos that would invariably ensue. [meajo.org]

Figure 12: (a and b) Right eye paralytic ectropion with lagophthalmos. [kjophthal.com]

Ectropion

Before and After Ptosis Surgery Bilateral Upper Eyelid Blepharoplasty & Ptosis Repair Ptosis Repair Lagophthalmos Lagophthalmos (lag-ahf-thal-mus) is a condition in which [cockerhammd.com]

KEYWORDS: Cicatricial ectropion; Eyelid contraction; Lagophthalmos; Periocular burn; V-Y advancement [ncbi.nlm.nih.gov]

The lagophthalmos, grade of SPK, and tBUT at both 1 month and 1 year of postoperative follow-up were all significantly improved compared with preoperatively (all P [ncbi.nlm.nih.gov]

Blepharoptosis

Lagophthalmos was seen in 6.25%, and undercorrection in 12.5% of cases. CONCLUSIONS: 1. [ncbi.nlm.nih.gov]

No lagophthalmos or notable eyelid contour abnormalities were seen. [ncbi.nlm.nih.gov]

No association was noted between the severity of ptosis and the development of lagophthalmos. [healio.com]

Secondary Entropion

Before and After Ptosis Surgery Bilateral Upper Eyelid Blepharoplasty & Ptosis Repair Ptosis Repair Lagophthalmos Lagophthalmos (lag-ahf-thal-mus) is a condition in which [cockerhammd.com]

H02.20 Unspecified lagophthalmos H02.201 …… right upper eyelid H02.202 …… right lower eyelid H02.203 …… right eye, unspecified eyelid H02.204 …… left upper eyelid H02.205 [icd10data.com]

The main cause is facial nerve paralysis (paralytic lagophthalmos) but it also occurs after trauma or surgery (cicatricial lagophthalmos) or during sleep (nocturnal lagophthalmos [patient.info]

Congenital Ptosis

The degree of lagophthalmos strongly correlated with BUT and FSS at 6 months postoperatively in group 1, but not in group 2. [ncbi.nlm.nih.gov]

The average amount of operative eyelid lift was 5.91 mm with anesthesia-induced lagophthalmos and 3.51 mm without. [ncbi.nlm.nih.gov]

Lid lag and lagophthalmos occurred in all patients but was within acceptable limits. [ncbi.nlm.nih.gov]

Exposure Keratitis

Facial nerve paralysis has multiple causes including trauma, surgery, tumor, stroke, and congenital lagophthalmos. [jhu.pure.elsevier.com]

Symblepharon causing lagophthalmos. 5. Deep coma associated with inadequate closure of lids. 6. Physiological lagophthalmos. [ophthalmologylife.blogspot.com]

Exposure produced by mechanical eyelid abnormalities such as lagophthalmos: Lagophthalmos is the inability to close eyelids completely. [aimu.us]

Central Corneal Ulcer

Abstract The outcomes of keratitis in lagophthalmos occurring due to various causes despite therapeutic measures are generally poor. [ncbi.nlm.nih.gov]

[…] from disturbances in corneal nutrition secondary to vitamin A or protein malnutrition, or from corneal exposure due to eyelid injuries or defective closure of the lids (lagophthalmos [healthcentral.com]

[…] commonly when worn during sleep and/or inadequately disinfected) Eyelid abnormalities Chronic blepharitis Entropion Incomplete eye closure (eg, due to inadequate eye closure [lagophthalmos [msdmanuals.com]

Congenital Exophthalmos

Lastly, look for lagophthalmos. Lagophthalmos is the inability to close the eyes completely. [clinipedia.wordpress.com]

Cosmetic Eyelid Craniofacial Syndrome Dermatochalasis Drooping Eyelid Ectropion Enophthalmos Exophthalmos Eyelid Lesions/Bumps Eyelid Retraction Eyelid Tumors Eyelid Wrinkles Lagophthalmos [health.ucsd.edu]

Conservative treatment is of prime importance since meddlesome operative intervention may produce severe orbital haemorrhage, followed by proptosis, lagophthalmos and corneal [ijo.in]

Congenital Facial Nerve palsy

In this report, a case of a male infant, with the features of hemi facial microsomia, anotia, vertebral anomalies, congenital facial nerve palsy and lagophthalmos is described [ncbi.nlm.nih.gov]

Average preoperative lagophthalmos was 4.41mm. [iovs.arvojournals.org]

Lower eyelid surgery for lagophthalmos in Mobius and Poland-Mobius syndromes. [rarediseases.org]

Hypopyon Ulcer

Corneal exposure from eyelid defects, ectropion or lagophthalmos may result in exposure keratitis. [cmej.org.za]

Facial nerve function must be assessed as dysfunction could affect eyelid closure (e.g. lagophthalmos). [cmej.org.za]

Blepharospasm

Lagophthalmos: Patients with lagophthalmos have an inability to close eyelids. This may possibly occur, for instance, in patients with Thyroid eye disease. [eyeplastics.com]

Lagophthalmos: Patients with lagophthalmos have an inability to close eyelids. This might possibly occur, for instance, in patients with Thyroid eye disease. [eyeplastics.com]

Outcome measures were postoperative botulinum toxin dose, frequency, duration between treatments, the amount of lagophthalmos, severity of dry eye, and patient satisfaction [ncbi.nlm.nih.gov]

Ophthalmic Nerve Disorder

Paralysis of facial muscles in leprosy patients with lagophthalmos. [nature.com]

There is left lagophthalmos present during eyelid closure. [webeye.ophth.uiowa.edu]

Adnexa: eyebrow position, eyebrow movement, frontalis function, incomplete blink movement, palpebral fissure width, location of lower punctum, ectropion, lid retraction, lagophthalmos [eyewiki.aao.org]

Lacrimal Gland Disorder

The main cause is facial nerve paralysis (paralytic lagophthalmos) but it also occurs after trauma or surgery (cicatricial lagophthalmos) or during sleep (nocturnal lagophthalmos [patient.info]

[…] unspecified H02 Other disorders of eyelid Excludes: congenital malformations of eyelid ( Q10.0-Q10.3 ) H02.0 Entropion and trichiasis of eyelid H02.1 Ectropion of eyelid H02.2 Lagophthalmos [apps.who.int]

Lagophthalmos: is defined as incomplete closure of eyelids. This is commonly seen in thyroid eye disease. Proptosis: Is defined as forward protrusion of eyeball. [drtbalu.co.in]

Marcus-Gunn Syndrome

Preoperative evaluation included measurements of the degree of ptosis, levator function, superior rectus action, Bell phenomenon, lagophthalmos, and (if present) synkinetic [doi.org]

Complications Complications following ptosis surgery include: Undercorrection [6] Overcorrection Lagophthalmos Suture Granuloma Sling Slippage Sling Extrusion Asymetric Lid [eyewiki.aao.org]

[…] position at rest and when the brow is raised, the degree of eyelid margin excursion on brow elevation, persistence of synkinetic eye movement, presence of complications, lagophthalmos [doi.org]

Disorder of Refraction and Accommodation

External Inspection / Eyelids 12 Abnormal Eyelid Position Or Function 4 Entropion Ectropion Ptosis Lagophthalmos Chalazion Trichiasis Conjunctivitis Pterygium Corneal Arcus [ophthalmologytraining.com]

H01.0) Blepharitis — inflammation of eyelids and eyelashes; characterized by white flaky skin near the eyelashes (H02.0) Entropion and trichiasis (H02.1) Ectropion (H02.2) Lagophthalmos [wikidoc.org]

[…] eyelid (usually upper eyelid) Blepharitis — inflammation of eyelids and eyelashes; characterized by white flaky skin near the eyelashes Entropion and trichiasis Ectropion Lagophthalmos [doctors-hospitals-medical-cape-town-south-africa.blaauwberg.net]

Keratoconjunctivitis Sicca

PURPOSE: To describe a case of inferior corneal steepening with a keratoconus-like pattern in a patient with nocturnal lagophthalmos and aqueous tear deficiency (ATD). [ncbi.nlm.nih.gov]

Some ocular manifestation such as keratoconjunctivitis sicca (KCS), sterile conjunctivitis, cicatricial lagophthalmos, cataracts and retinal microvascular occlusive disease [columbiaeye.org]

Artificial tear ointments applied before sleep are particularly useful when patients have nocturnal lagophthalmos or irritation on waking. [msdmanuals.com]

Orbital Neoplasm

The associated lid dysfunction and incomplete lid closure (lagophthalmos) or lacrimal gland dysfunction can result in exposure keratopathy, keratitis, and ocular pain. [skullbaseinstitute.com]

The bulk of a small, asymptomatic lesion is insufficient to cause lagophthalmos and exposure keratopathy, or a permanent impairment of motility. [healio.com]

Lid dysfunction and lagophthalmos or lacrimal gland dysfunction can result in exposure keratopathy, keratitis, and thinning of the cornea. [emedicine.medscape.com]

Entropion

Excluded were patients with previous eyelid surgeries, lagophthalmos, and RESULTS: There were 21 females (65.6%) and 11 males (34.4%) with a mean age of 69.7 years (SD=6.9 [ncbi.nlm.nih.gov]

Before and After Ptosis Surgery Bilateral Upper Eyelid Blepharoplasty & Ptosis Repair Ptosis Repair Lagophthalmos Lagophthalmos (lag-ahf-thal-mus) is a condition in which [cockerhammd.com]

The patients were followed up regularly and were assessed for structural integrity, upper marginal reflex distance (U-MRD), vertical palpebral aperture, and lagophthalmos. [ncbi.nlm.nih.gov]

Prolapse

[…] closure when asleep) lagophthalmos because of the inelastic dystrophic levator. [eyenews.uk.com]

Cosmetic outcome, functional success, and lagophthalmos were compared. [ncbi.nlm.nih.gov]

She had no lagophthalmos. Results of anterior slitlamp and dilated ophthalmoscopic examinations were unremarkable. [jamanetwork.com]

Ochoa Syndrome

Nocturnal lagophthalmos: Partial closing of the eyelids while sleeping, resulting in dry eyes while awakening. 2. [icliniq.com]

Murat Mermerkaya, Evren Süer, Erdem Öztürk, Ömer Gülpınar, Mehmet İlker Gökçe, Fatime Nilüfer Yalçındağ, Tarkan Soygür and Berk Burgu, Nocturnal lagophthalmos in children [doi.org]

Nocturnal lagophthalmos (incomplete closing of the eyes during sleep) appears to be a common and significant finding [2]. [clinmedjournals.org]

Phthisis Bulbi

Presentation on theme: "Lagophthalmos The palpebral aperture cannot be closed properly when the eyes are shut Bell’s palsy Cicatricial ectropion Proptosis Thyrotoxicosis. [slideplayer.com]

Signs Microphthalmos Enophthalmos Lagophthalmos Reduced eyelid fissure Strabismus Conjunctival chemosis and hyperemia Corneoscleral scarring, thickening, vascularization, [eyewiki.aao.org]

"— Presentation transcript: 1 Lagophthalmos The palpebral aperture cannot be closed properly when the eyes are shut Bell’s palsy Cicatricial ectropion Proptosis Thyrotoxicosis [slideplayer.com]

Lamellar Ichthyosis

Ocular complications include bilateral cicatricial ectropion and lagophthalmos. [ncbi.nlm.nih.gov]

Six months after treatment, the mucous membrane graft was keratinized and a significant reduction in lagophthalmos was seen. [ncbi.nlm.nih.gov]

Ichthyosis is known to have ocular associations such as blepharitis, hypertrophic conjunctivitis, corneal vascularization, ectropion, lagophthalmos, etc. [ncbi.nlm.nih.gov]

Moebius Syndrome

Eleven (68.8%) patients had lagophthalmos and 12 (75%) patients had bilateral epicanthus. Unilateral amblyopia was present in 2 (12.5%) patients. [ncbi.nlm.nih.gov]

Möbius syndrome is a congenital condition characterized by strabismus, lagophthalmos, neurodevelopmental abnormalities, autism and sometimes limb and pectoral abnormalities [eyewiki.aao.org]

Bilateral complete facial nerve palsy with lagophthalmos was present in 83% of patients; lacrimation showed abnormalities in 33% of cases. [ncbi.nlm.nih.gov]

Photophthalmia

lagophthalmos left lower eyelid H02.231 Paralytic lagophthalmos right upper eyelid H02.232 Paralytic lagophthalmos right lower eyelid H02.234 Paralytic lagophthalmos left [hmsa.com]

CP, ttt esp cicatricial blepharitis - types, sequalae/complications ulcerative, ttt trichiasis - complication, ttt 2nd priority QQ (comes in exam once,rare, 3 out of 10Q) lagophthalmos [medicalclick.blogspot.com]

Trichiasis EntropionEctropion Lagophthalmos 6. [de.slideshare.net]

Paralytic Lagophthalmos

Gold weights in upper eyelids for the correction of paralytic lagophthalmos. [link.springer.com]

Management of lagophthalmos by Gillies method (a case report). J Postgrad Med 1990; 36: 115-19. Gupta AK, Jain S. [medigraphic.com]

Keyword (fr) LAGOPHTALMIE PARALYSIE FACIALE CHIRURGIE PTOSIS PLASTIE PAUPIERE SUPERIEURE PAUPIERE INFERIEURE OEIL PATHOLOGIE OPHTALMOPLEGIE HOMME OPHTALMOLOGIE Keyword (en) LAGOPHTHALMOS [pascal-francis.inist.fr]

Phthisical Cornea

Signs Microphthalmos Enophthalmos Lagophthalmos Reduced eyelid fissure Strabismus Conjunctival chemosis and hyperemia Corneoscleral scarring, thickening, vascularization, [eyewiki.aao.org]

Cicatricial Lagophthalmos

Figure Bilateral lagophthalmos one year after upper blepharoplasty Right lagophthalmos measures 2.5 mm; left lagophthalmos measures 2 mm. Contirubuted by Prof. [ncbi.nlm.nih.gov]

Italian Lagoftalmo meccanico French Lagophthalmos mécanique Last Update: 2014-12-09 Usage Frequency: 1 Quality: Warning: This alignment may be wrong. [mymemory.translated.net]

Lagophthalmos is due to scarring to the eyelids. [ncbi.nlm.nih.gov]