Gold weight implants in the management of lagophthalmos in leprosy patients.

OBJECTIVES To evaluate the use of gold weights as upper lid implants in the management of lagophthalmos due to facial nerve affection in leprosy patients. DESIGN Gold implants of various weights were inserted in the upper eyelids of 12 patients with leprosy. Pre- and post-operative lid closures were recorded and patients were followed up for 1 year. RESULTS Despite early satisfactory results with good closure, six out of 12 implants were extruded within the first year. Two more implants had to be removed due to chronic inflammatory reaction. CONCLUSION Long term result of gold weight implants in leprosy patient is unsatisfactory and needs further evaluation.