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Ophthalmic grading of facial paralysis: need for a closer look
  1. Kimia Ziahosseini1,
  2. Charles Nduka2,
  3. Raman Malhotra1
  1. 1Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
  2. 2Department of Plastic Surgery, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
  1. Correspondence to Raman Malhotra, Consultant ophthalmic and oculoplastic surgeon, Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead RH19 3DZ,UK; Raman.Malhotra{at}qvh.nhs.uk

Abstract

Very many variations of facial grading systems have been developed, but none address the ophthalmic complications of facial nerve weakness adequately. The important priorities for ophthalmic surgeon are protecting the ocular surface, maintaining sight and peripheral vision, as well as improving the cosmesis of periocular area. The absence of a universally agreed grading system on the ophthalmic plastic complications of facial nerve paralysis is an obstacle to standardised treatment. It is time for clinicians to recognise this need.

  • Ocular surface
  • Eye Lids
  • Cornea
  • Anatomy
  • Treatment other

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