Thixotropy: a novel explanation for the cause of lagophthalmos after peripheral facial nerve palsy

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Thixotropy of levator palpebrae as the cause of lagophthalmos after peripheral facial nerve palsy.

Patients with facial nerve palsy are at risk of developing corneal ulceration because of lagophthalmos (incomplete closure of the affected eyelid). Lagophthalmos could result from thixotropy of the levator palpebrae muscle--that is, the formation of tight crossbridges between the actin and myosin filaments of the muscle fibres causing stiffness of the muscle--rather than from paralysis of the o...

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As the facial nerve carries sensory, motor and parasympathetic fibres involved in facial muscle innervation, facial palsy results in functional and cosmetic impairment. It can result from a wide variety of causes like infectious processes, trauma, neoplasms, autoimmune diseases, and most commonly Bell's palsy, but it can also be of iatrogenic origin. The main ophthalmic sequel is lagophthalmos....

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 2002

ISSN: 0007-1161

DOI: 10.1136/bjo.86.8.839