+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cosmetic comparison of gold weight and platinum chain insertion in primary upper eyelid loading for lagophthalmos



Cosmetic comparison of gold weight and platinum chain insertion in primary upper eyelid loading for lagophthalmos



Ophthalmic Plastic and Reconstructive Surgery 28(3): 171-175



Platinum chains are thinner than gold weights (GWs) and may confer a better eyelid curvature profile with reduced visibility. Outcomes compared eyelid measurements, cosmesis, and complications. Forty-two primary GW and 17 primary platinum chain insertions were identified and subsequently matched for laterality, pathology, and weight of implant. Twenty-two patients were randomly allocated into 2 groups for comparison; those receiving a GW (n = 11) or platinum chain (n = 11) to formulate a retrospective case-controlled study. Primary upper eyelid loading surgery with both implants involved a standard technique of a high tarsal placement with levator recession. Blinded assessment of preoperative and 6-month postoperative photographs calculated eyelid parameters: upper marginal reflex distance and lagophthalmos. Standardized photographs were used to define cosmesis in terms of abnormal eyelid contour and prominence. Gold weights demonstrated an improvement in eyelid parameters. Nine eyelids had prominent implants: mild (2), moderate (3), and severe (4). Eyelid contour was affected in 7 patients, 5 with droop, and 2 with flattened contour. Platinum chain improved eyelid measurements. Mild eyelid prominence was noted in 2 cases, but eyelid contour remained normal in all patients. No complications were noted with either the GW or the platinum chain implants. Both devices are successful in treating complications of lagophthalmos. Platinum chains appear less prominent and maintain normal eyelid contour. Although more expensive, platinum chains appear to be as safe and effective as GWs yet provide better cosmesis.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052366971

Download citation: RISBibTeXText

PMID: 22460670

DOI: 10.1097/iop.0b013e3182467bf7


Related references

Upper eyelid platinum chain placement for treating paralytic lagophthalmos. Journal of Cranio-Maxillo-Facial Surgery 42(8): 2045-2048, 2014

Weight measurement of upper eyelid gold implants for lagophthalmos in facial paralysis. Plastic and Reconstructive Surgery 108(6): 1539-1543, 2001

Upper eyelid platinum weight placement for the treatment of paralytic lagophthalmos: A new plane between the inner septum and the levator aponeurosis. Archives of Plastic Surgery 45(3): 222-228, 2018

Upper lid loading with gold weights in paralytic lagophthalmos: a modified technique to maximize the long-term functional and cosmetic success. Orbit 23(1): 27-32, 2004

Platinum segments: a new platinum chain for adjustable upper eyelid loading. British Journal of Ophthalmology 99(12): 1680-1685, 2015

Late outcomes of gold weights and platinum chains for upper eyelid loading. British Journal of Ophthalmology 102(2): 164-168, 2018

Morbidity after gold weight insertion into the upper eyelid in facial palsy. British Journal of Plastic Surgery 45(6): 460-464, 1992

The first experience of using an implant for upper eyelid loading in paralytic lagophthalmos. Vestnik Oftalmologii 128(1): 41-43, 2012

Modification of the gold-weight implant for insertion into the upper eyelid in facial palsy. Annals of Plastic Surgery 55(6): 689-692, 2005

Upper-eyelid weight implants for patients with lagophthalmos-comparison of rigid and flexible implants. Journal of Cranio-Maxillo-Facial Surgery 46(10): 1843-1849, 2018

Gold implant to upper eyelid for correction of lagophthalmos. Annals of Ophthalmology 12(10): 1214-1215, 1980

Indications and outcomes for revision of gold weight implants in upper eyelid loading. British Journal of Ophthalmology 96(4): 485-489, 2012

Customized gold weight eyelid implantation in paralytic lagophthalmos. Journal of Laryngology and Otology 122(10): 1088-1091, 2008

A precise method of gold-weight contour shaping for upper-eyelid loading in facial palsy. British Journal of Plastic Surgery 54(7): 653, 2001

Placement of an eyelid weight as an upper lid spacer for lagophthalmos. Clinical and Experimental Ophthalmology 43(8): 766-768, 2015