Migration and extrusion of eyelid implant in patients with facial palsy – two case reports

Peripheral facial nerve palsy is one of the cranial neuropathies and may present with lagophthalmos. The damage may be permanent or transient. Depending on the severity of symptoms and prognosis, treatment is proposed. In many cases, lid load is the procedure of choice due to its effectiveness, minimal invasiveness, and reversibility. Despite the undeniable advantages, the eyelid implant procedure is associated with the risk of a number of complications. One of the most common is the displacement and extrusion of the eyelid implant.

Case Report
The paper presents a description of two cases: an 88-year-old patient with extrusion of a gold implant and a 61-year-old patient with eyelid implant migration. In both cases, the implant was removed and re-implantation was abandoned. The paper discusses possible causes of eyelid implant displacement as well as methods of treatment and prevention of this complication.

Conclusions
Implantation of the eyelid implant is an effective method of treating paralytic lagophthalmos. Displacement of the eyelid implant is a common complication, which in many cases can be prevented by the selection of the appropriate implant and surgical technique.