LAUSR

Eyelid coupling using the modified tarsoconjunctival flap is an effective treatment for paralytic ectropion. Eyelid position and quality of life can be improved in patients with flaccid facial paralysis using these eyelid coupling procedures. The modified tarsoconjunctival flap can obscure the lateral visual field by coupling the eyelids, but without distortion of the canthal angle and eyelid margin. The procedure is often coupled with a lateral canthoplasty or canthopexy to address horizontal laxity of the lower eyelid. Collecting standardized outcome measures will help establish the ideal treatment paradigm of paralytic eyelid malposition.