Lagophthalmos and Exposure Keratopathy: Symptoms, Causes & Treatment in Orange CountyExpert Eye Care from Orange County’s Leading Specialists
Expert information about lagophthalmos and exposure keratopathy from Orange County's leading eye care specialists. Learn about symptoms, causes, diagnosis, and the latest treatment options.
Expert information about lagophthalmos and exposure keratopathy from Orange County's leading eye care specialists. Learn about symptoms, causes, diagnosis, and the latest treatment options.
Lagophthalmos and Exposure Keratopathy — At a Glance
Severity & Type
When to See a Doctor
Schedule a comprehensive eye exam if you experience persistent symptoms.
Key Symptoms
- Inability to fully close the eye
- Dry, red, irritated eye — worse upon waking
- Corneal drying and staining
- Foreign body sensation
- Blurred vision from corneal surface damage
Treatment Options
- Scleral Contact Lens Fitting
- Lubricating Ointment at Night
- Eyelid Taping or Moisture Chambers
- Gold Weight Eyelid Implant
- Tarsorrhaphy (surgical eyelid closure)
What is Lagophthalmos and Exposure Keratopathy?
Lagophthalmos is the inability to fully close the eyelids, leaving the cornea exposed to air and mechanical trauma during sleep and throughout the day. Common causes include Bell's palsy (facial nerve paralysis), post-surgical facial nerve damage, thyroid eye disease, and eyelid scarring. The exposed cornea dries out, develops epithelial defects, and can ulcerate or perforate. Scleral lenses provide a sealed moisture chamber that protects the cornea continuously, often eliminating the need for taping the eye shut at night.
At EyeCare Center of Orange County, we specialize in the diagnosis and treatment of lagophthalmos and exposure keratopathy. Our experienced optometrists use state-of-the-art technology to provide comprehensive care and help preserve your vision.
Common Symptoms of Lagophthalmos and Exposure Keratopathy
If you're experiencing any of these symptoms, schedule a comprehensive eye examination:
Inability to fully close the eye
Dry, red, irritated eye — worse upon waking
Corneal drying and staining
Foreign body sensation
Blurred vision from corneal surface damage
History of Bell's palsy, thyroid eye disease, or facial surgery
Treatment Options for Lagophthalmos and Exposure Keratopathy
We offer comprehensive treatment options tailored to your specific needs:
Scleral Contact Lens Fitting
Lubricating Ointment at Night
Eyelid Taping or Moisture Chambers
Gold Weight Eyelid Implant
Tarsorrhaphy (surgical eyelid closure)
Punctal Occlusion
Why Choose EyeCare Center of Orange County?
Over 30 Years of Experience
Dr. Alexander Bonakdar has been serving Orange County since 1991 with specialized expertise in ocular surface disease.
Advanced Diagnostic Technology
We utilize the latest equipment for accurate diagnosis and effective treatment of lagophthalmos and exposure keratopathy.
Personalized Treatment Plans
Every patient receives customized care based on their unique needs and condition severity.
Comprehensive Eye Care
From diagnosis to treatment and follow-up care, we provide complete support throughout your treatment journey.
Frequently Asked Questions
Why can't I close my eye after Bell's palsy?
Bell's palsy paralyzes the facial nerve (cranial nerve VII), which controls the orbicularis oculi muscle that closes the eyelid. Until nerve function recovers — which can take weeks to months — the eye cannot close fully, exposing the cornea to drying and damage.
How do scleral lenses protect the eye in lagophthalmos?
Scleral lenses create a sealed fluid chamber over the cornea that prevents dehydration even when the eyelid cannot close completely. This eliminates the need for taping at night in many patients and provides comfortable, clear vision during the day.
Does insurance cover Lagophthalmos and Exposure Keratopathy treatment?
Most vision and medical insurance plans cover diagnostic exams and medically necessary treatments. We accept most major insurance plans and can help verify your coverage before treatment.
Schedule Your Consultation
Get expert diagnosis and treatment for lagophthalmos and exposure keratopathy.
Find Lagophthalmos and Exposure Keratopathy Treatment Near You
Don't Let Lagophthalmos and Exposure Keratopathy Impact Your Vision
Schedule your comprehensive eye examination today and get expert diagnosis and treatment.
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