Custom-made Gold Implant for Management of Lagophthalmos

Gold weight implantation is the most commonly used static procedure and method for surgical correction of paralytic lagophthalmos.Other mechanical techniques for reanimating lid closure are palpebral springs, encircling the upper and lower eyelids with silicone or fascia lata, and temporalis muscle transfer. Although other materials are also used, gold weights are frequently preferred because of gold’s high specific gravity, inertness to the body and malleability. Especially platinum weights should be used in patients with suspected gold allergy.