Gushchina M B, Tereshchenko A V, Mal'kov S A
S. Fyodorov Eye Microsurgery Federal State Institution, 59A Beskudnikovsky Blvd., Moscow, Russian Federation, 127486.
Kaluga branch of S. Fyodorov Eye Microsurgery Federal State Institution, 5 Svyatoslav Fyodorov St., Kaluga, Russian Federation, 248007.
Vestn Oftalmol. 2018;134(3):116-120. doi: 10.17116/oftalma20181343116.
Facial nerve palsy is a common pathology that develops due to various diseases, traumas and medical interventions. The most common peripheral type of facial paralysis leads to acute unilateral involvement of facial muscles along with the development of paralytic lagophthalmos. The absence of adequate and timely medical treatment in patients with paralytic lagophthalmos can lead to severe corneal complications such as cornea perforation causing loss of eye and consequently restricted professional ability, work capacity and significant decrease of patient's life quality. Patients with paralytic lagophthalmos require timely, complex, planned treatment involving various correction methods aimed at protection of the cornea, as well as anatomical and functional recovery of the eyelids. Chemodenervation of the upper eyelid muscles is a pathogenetically substantiated method that can help restore the protective function of the upper eyelid and prevent corneal complications; it can be recommended for early stages of the disease.
面神经麻痹是一种常见的病理状况，由各种疾病、创伤和医疗干预引起。最常见的周围性面瘫类型会导致面部肌肉急性单侧受累，并伴有麻痹性兔眼的出现。麻痹性兔眼患者若未得到充分及时的治疗，可能会导致严重的角膜并发症，如角膜穿孔导致失明，进而限制职业能力、工作能力，并显著降低患者的生活质量。麻痹性兔眼患者需要及时、综合、有计划地进行治疗，包括采用各种旨在保护角膜以及实现眼睑解剖和功能恢复的矫正方法。上睑肌化学去神经支配是一种有病理依据的方法，有助于恢复上睑的保护功能并预防角膜并发症；可在疾病早期推荐使用。
