Gold weights as upper eyelid implants for facial paralysis

Facial nerve palsy results in paralysis of orbicularis oculi muscle. This results in symptoms of ocular irritation due to inadequate eyelid closure. The primary objective of the surgeon is to protect the eye, via surgical or non-surgical methods. Surgical methods involve tarsrrhaphy, gold weights or springs as well as lower lid procedures. Nine such cases where Gold Weights were implanted in the upper eyelid with good results, are presented.