Mühlbauer W D
Klin Monbl Augenheilkd. 1977 Dec;171(6):938-45.
Five years' experience with the implantation of permanent magnets in the eye lids for reconstruction of dynamic lid closure for paretic lagophthalmos is presented. The patients followed up were 114 in number with unilateral and three with bilateral lagophthalmos due to complete facial palsy. In the majority of cases satisfactory to good eyelid function with complete protection for the eye could be obtained. In 15 cases rejection occurred usually because of deficient implantation technique. On the basis of these experiences we conclude that a good indication for lid magnet implantation is present for reversible facialis paralysis for a continuous solution, and also as a complement to other operative procedures which alone do not result in complete eyelid closure. Facial paralysis of long duration with atrophy of the lid structures and retraction or spasticity of the levator musculature is a relative contraindication.
本文介绍了将永久磁铁植入眼睑以重建动力性睑闭合治疗麻痹性兔眼的五年经验。随访的患者中有114例为单侧麻痹性兔眼，3例为双侧麻痹性兔眼，均由完全性面神经麻痹引起。在大多数情况下，可以获得令人满意至良好的眼睑功能，眼睛得到完全保护。15例出现排斥反应，通常是由于植入技术不足。基于这些经验，我们得出结论，对于可逆性面神经麻痹以获得持续性解决方案，以及作为单独无法实现完全眼睑闭合的其他手术方法的补充，眼睑磁铁植入有良好的适应证。眼睑结构萎缩、提上睑肌肌肉回缩或痉挛的长期面神经麻痹是相对禁忌证。
