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Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos

Davies, Brett W. M.D., M.S.; Hink, Eric M. M.D.; Durairaj, Vikram D. M.D.

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Plastic and Reconstructive Surgery: January 2014 - Volume 133 - Issue 1 - p 70e
doi: 10.1097/01.prs.0000436807.42917.99
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We read with interest the article entitled “Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos” by Rozen and Lehrman.1 Although the methods were sound and the article was well written, the authors failed to mention that this surgical technique has been previously published. Tower and Dailey described almost the same technique in 2004.2 In their original description, they placed the gold weight in a postseptal location, sutured it to the levator aponeurosis, and closed the septum and skin. The current article differs only in the intraoperative adjustment of the weight and the closure of the orbicularis layer. Although this article provides a valuable contribution to the literature, it is incumbent on the authors to cite and credit the work of previous surgeons.


The authors have no financial interest to declare in relation to the content of this communication.

Brett W. Davies, M.D., M.S.

Eric M. Hink, M.D.

Vikram D. Durairaj, M.D.

Oculofacial Plastic and Reconstructive Surgery

University of Colorado Hospital

Aurora, Colo.


1. Rozen S, Lehrman C. Upper eyelid postseptal weight placement for treatment of paralytic lagophthalmos. Plast Reconstr Surg. 2013;131:1253–1265
2. Tower RN, Dailey RA. Gold weight implantation: A better way? Ophthal Plast Reconstr Surg. 2004;20:202–206


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