Eyelid Implants are designed for the gravity assisted treatment of the functional defects of lagophthalmos resulting from facial paralysis Eyelid Implants may be used to complement McLaughlin lateral canthoplasty, brow lift procedures, lower eyelid shortening for ectropion, lower eyelid supporting procedures, fascial slings and medial canthoplasty.
MedDev offers eyelid implants in two standard designs: the ThinProfile design and the Contour design. The Contour Design Eyelid Implants have a spherical shape which conforms to the curvature of the globe. The implant is less conspicuous when implanted in the eyelid because the tapered lower edge and rounded lower corners lower its profile. Surfaces and edges of the implant are smoothly polished to ensure tissue compatibility. The implants are designed with suture holes for secure fixation. The ThinProfile design incorporates many of the same proven features as the Contour design; however, it is significantly thinner. ThinProfile Eyelid Implants are only .6 mm thick, allowing for superior cosmesis and reduced migration and extrusion.
ThinProfile Design Contour Design
Upon special request, MedDev can make Custom Eyelid Implants. These implants can be of special design, non-standard weights or made of platinum.
The appropriate weight for an implant is found by adhering different weights from the Tantalum Weight Sizing Set to the outside of the upper eyelid. To determine the correct weight for an eyelid implant:
1. Affix the adhesive strip to the concave side of the 1.0 gram sizing weight (Instructions for using the EyeClose Adhesive Tape strips are included in the adhesive tape box.).
2. With the patient sitting up-right, affix the weight to the upper eyelid approximately 3.0 mm (1/8") above the lash line (centered at the junction of the medial and central thirds of the eyelid). At this point the action of the levator function is maximal.
3. Note the position of the eyelid as the patient looks up and down.
4. Increase or decrease the sizing weight until the best result is achieved. Because the levator seems to strengthen after the weight is added, the optimal weight is usually that which holds the lid about 1.0 mm lower than the normal lid as the patient looks straight ahead.
Eyelid Implants are supplied sterile. Follow the Storage and Handling guidelines that come with the product. MedDev does not recommend re-sterilization.
The following procedures, used by Dr. Richard Jobe1 and Dr. Stuart Seiff2, respectively, are provided for information purposes only. Proper surgical technique is the responsibility of the surgeon. Each surgeon must evaluate the procedure based on his or her medical training and experience. Final placement of the Eyelid Implant may be septal, mid pretarsal or low pretarsal. (Figure 1) Generally, the higher the placement, the less conspicuous the implant will be in the eyelid. However, some surgeons prefer a lower pretarsal placement in order to accomplish eyelid closure with less implanted weight.
Figure 1: Eyelid Implant Placement
Figure 2: Incision in Eyelid
Figure 3: Blunt Dissection
CAUTION: Federal (U.S.A.) Law restricts this device to sale by or on the order of a physician. Report all adverse reactions immediately to MedDev Corporation. Eyelid Implants are intended for single patient use only.
There is no specific code for the Implants or the Procedure used for the implantation of MedDev Gold Eyelid Implants. However, follow the link below to see a list of common CPT codes our customers have used.
To see the list of CPT codes click here.