A Rare Case Report on Lagophthalmos

1Department of Pharmacy, Anand Pharmacy College, Gujarat Technical University, Gujarat, INDIA

Corresponding author.

Correspondence: Ms. Khayati Gadhwal Pharm D Student, Department of Pharmacy, Anand Pharmacy College, Gujarat Technical University, Gujarat, INDIA. Email: khayatigadhwal151@gmail.com
Received June 19, 2023; Revised July 24, 2023; Accepted August 13, 2023.
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Citation

1.Gadhwal K, Suratiya N, Prajapati T, Master Y. A Rare Case Report on Lagophthalmos. Journal of Young Pharmacists [Internet]. 2023 Dec 22;15(4):773–6. Available from: http://dx.doi.org/10.5530/jyp.2023.15.109
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Published in: Journal of Young Pharmacists, 2023; 15(4): 773-776. Published online: 07 December 2023DOI: 10.5530/jyp.2023.15.109

ABSTRACT

Lagophthalmos express the imperfect palpebra closure. It can be result as feelings like there’s commodity in the eyes, Ophthalmalgia, Epiphora or dry eyes, vague vision, red eyes, scleritis, light perceptivity, Insomnolence. Complete eyes close with a nictitation is important for maintaining a stable lacrimal layer and Healthy Eyes. Twenty years of girl visit to hospital with complaints of redness of left eye, Water secretion continuously specially with pain in left eye at night which was intolerable, severe light sensitivity, blurry vision, constant headache, not able to concentrate due to pain and blurry vision. Initially patient feels dry eyes during the day before a couple of day of starting continuously water secretion. On examination they conclude that patient eyes are not properly closed during sleeping which interpret in formation of stable tear film. After all examination they conclude that she has lagophthalmos. For management of her condition, she was prescribed with Optimoist Ultra 400 E/D, Moxiqua 0.5%. Lagophthalmos cannot be treated completely as the point so, Doctor suggests the lifelong therapy of this eye drops and eye gel for better outcomes and to prevent further symptoms flare. There should not be any surgical therapy in this case because lagophthalmos was detected in early stage within 2-3 weeks. According to guidelines if lagophthalmos is detected within 1-6 weeks then medical care therapy is sufficient to give better result. Lagophthalmos can be chronic if not treated early it can be causing complete and permeant vision loss

Keywords: Lagophthalmos, Eye infection, Light sensitivity, Epiphora, Slit lamp Examination, Corneal Topography