Eyelid Implants


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Eyelid Implants

Description

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.

Designs

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

 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.

Platinum Implant - Available upon Special Request

 Platinum Implant

BenefitsContour Eyelid Implant

  • Inconspicuous in eyelid

  • Facilitates eyelid closure
  • Improves corneal protection
  • Assists blinking
  • Eliminates need for disfiguring tarsorrhaphy in some
    patients
  • Improves facial appearance
  • Reversible procedure

Features

  • 12.7 mm radius of spherical curvature conforms to the shape of the globe

  • Rounded corners may be oriented inferiorly for septal or pretarsal placement

  • Tapered, smooth edge and rounded corners

  • 1.0 mm holes for operative suture fixation and postoperative fibrous tissue in-growth

  • Produced from 99.99% gold, nominal specific gravity 19.21

  • Seven standard sizes, ranging from 0.6 to 1.8 grams

  • Five special order sizes, ranging from 2.0 to 2.8 grams

Instructions For Sizing

For information on Tantalum Weight Sizing Sets, click here.

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.

Sterilization

Eyelid Implants are supplied sterile. Follow the Storage and Handling guidelines that come with the product. MedDev does not recommend re-sterilization.

Suggested Surgical Techniques

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

Bibliography

  1. Jobe RP: A Technique for Lid Loading in the Management of the Lagophthalmos of Facial Palsy. Plastic and Reconstructive Surgery, 53 (1): pp. 29-32, Jan 1974.

  2. Seiff SR, Chang J: Management of Ophthalmic Complications of Facial Nerve Palsy. Otolaryngologic Clinics of North America, 25-3, pp. 669-690, June 1992.

  3. Townsend DJ: Eyelid Reanimation for the Treatment of Paralytic Lagophthalmos: Historical Perspectives and Current Applications of the Gold Weight Implant. Ophthalmic Plastic and Reconstructive Surgery 8 (3): pp. 196-201, 1992.

  4. Gilbard SM: Daspit CP: Reanimation of the Paretic Eyelid Using Gold Weight Implantation, Ophthalmic Plastic and Reconstructive Surgery, 7 (2): pp. 93-103, 1991.

 

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.

Reimbursement Information

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.

Ordering & Information

Call MedDev for more info or to order.

                        800.543.2789

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