Yu kin gɛt prɔblɛm bak fɔ lɔk yu yay fayn fayn wan? Mek wi lan bɔt (Lagophthalmos)!

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ lɔk yu yay ɔltogɛda? Ɔ pɔsin we yu sabi gɛt dis prɔblɛm? Pan ɔl we dis kin tan lɛk simpul tin to sɔm pipul dɛn, i kin rili bi wan sik we dɛn nid fɔ tek siriɔs wan. Tide wi go tɔk bɔt dis we aw yu nɔ ebul fɔ lɔk yu yay kɔmplit wan, we insay mɛrɛsin dɛn kɔl am `(Lagophthalmos)`.

Wetin rili bi ``Lagophthalmos''?

Fɔ tɔk am simpul wan, ``Lagophthalmos`` na wan kɔndishɔn we yu yaylid nɔ kin ebul fɔ lɔk ɔl. Dis kin apin na wan ɔ ɔl tu yay. Tink bɔt am, we wi de blink ɔ slip, wi yaylid dɛn fɔ lɔk ɔltogɛda. Dis prɔblɛm kin apin we dɛn nɔ de.

Sɔmtɛm dis sik kin apin fɔ insɛf. Ɔ, i kin gɛt fɔ du wit ɔda mɛrɛsin, lɛk di aylid we de drɔp (ptosis). Sɔntɛnde, i kin apin bak as sayd ɛfɛkt afta dɛn dɔn ɔpreshɔn di aylid (blepharoplasty) ɔ ptosis ripa.

If di kɔndishɔn ` (Lagophthalmos)` nɔ tu siriɔs, dat min se if di aylid opin smɔl nɔmɔ, i nɔ kin bi big prɔblɛm. Bɔt if di aylid nɔ lɔk fayn, i kin mek wi gɛt siriɔs prɔblɛm. Imajin, di blak yay na wi yay, dat na, `(kɔnia), de pan briz, dɔst, ɛn ɔda dɔti tin dɛn ɔltɛm. Dis kin mek pɔsin in yay wund, i kin gɛt skata, ɛn sɔntɛnde i kin ivin mek i nɔ ebul fɔ si fayn igen. So, i rili impɔtant fɔ tek kia ɔf dis.

Yu tink se kayn `(Lagophthalmos)` de?

Yes, sɔm men kayn dɛn de fɔ dis ``Lagophthalmos`` kɔndishɔn. Lɛ wi si wetin dɛn bi.

Lagophthalmos we de na nɛt

Dis na we yu yay kin lɔk we yu wek, bɔt we yu de slip, dɛn nɔ kin lɔk ɔl. Di wɔd "lagophthalmos" min "yay dɛn we tan lɛk rɔbish." Trade, pipul dɛn bin biliv se rɔbish kin slip wit dɛn yay opin. Na dat mek dɛn bin de kɔl am da we de. Bɔt naw sayɛnsman dɛn se rɔbish dɛn kin slip mɔ wit dɛn yay we dɛn lɔk. Bɔt dɛn dɔn si se lɛk 20% pan pipul dɛn, ɔ lɛk wan pan ɛvri fayv pipul dɛn, kin opin dɛn yay smɔl ɔ kɔmplit wan we dɛn de slip na nɛt. Dɛn kɔl dis `(Nocturnal Lagophthalmos)`.

Paralaytik Lagophthalmos we kin kam bikɔs ɔf di nerve damej

We di fes nerve nɔ de wok fayn, dat min se if i nɔ de wok (lɛk paralayz), wi nɔ go ebul fɔ lɔk wi yay ɔltogɛda. Dis nerve de na di tu say dɛm na wi fes. we dis nεv dכn pwεl, ``Paralytic Lagophthalmos'' de apin.

Mɛkanikal Lagophthalmos we dɛn kin mek bikɔs ɔf mɛkanikal kɔz

Sɔntɛnde dis sik kin apin nɔto bikɔs ɔf wan nerve prɔblɛm, bɔt na bikɔs ɔf sɔm prɔblɛm na di strɔkchɔ na di aylid dɛm, ɔ bikɔs ɔf damej we aksidɛnt kin mek. Dɛn kɔl dis `(Mɛkanikal Lagophthalmos)`. `(Cicatricial Lagophthalmos)` na wan kayn `(Mɛkanikal Lagophthalmos)` bak. Dat min se di aylid dɛn nɔ kin ebul fɔ lɔk fayn bikɔs ɔf skata.

Wetin na di sayn dɛm fɔ `(Lagophthalmos)`?

Di men sayn na we di aylid nɔ de lɔk fayn. Bɔt sɔm ɔda sayn dɛn kin de apat frɔm dis. Si if yu gɛt ɛni wan pan dɛn sayn ya:

• Wata yu yay ɔltɛm ɔ yu kin fil se yu yay dray. Sɔm kin ivin fil lɛk se dɛn yay de it.
• Wan ɔltɛm filin lɛk se sɔntin dɔn stɔp na di yay, lɛk se bɔd dɔn flay insay, ɔ yu yay de bɔn ɔ pen.
• Di vishɔn we nɔ klia. Nɔ ebul fɔ si klia wan.
• Di yay dɛn we de rɛd.
• Inkris sεnsitiviti to layt (fotophobia). Dis min se i nɔ kin izi fɔ luk layt, ɛn di yay kin fil lɛk se i de tɔn blu.
• Kɔnia ɔlsa na siriɔs sayn.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, i impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Lagophthalmos)`?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik. Bɔt i nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin.

Tu men tin dɛn de we kin mek pɔsin gɛt ``Lagophthalmos``:

1. Damej to yu fes nerve.

2. Damej to yu yaylid.

Bikɔs ɔf di damej pan di fes nerve

Difrɛn rizin dɛn de we mek di fes nerve kin pwɛl:

• Damej na di yay frɔm aksidɛnt ɔ kɔt.
• Wan kɔndishɔn we dɛn kɔl `Bɛl in palsi`. Insay dis, di mɔsul dɛn na wan say na di fes nɔ kin wok wantɛm wantɛm.
• Kɔndishɔn dɛn lɛk ` Stroke` .
• Tumɔs, lɛk akostik nyuroma.
• Sɔm sik dɛn we de mek pɔsin nɔ ebul fɔ fɛt insɛf, lɛk di sik we dɛn kɔl Guillain-Barré syndrome.
• Jεnεtik kכndishכn dεm lεk `Moebius syndrome`.
• Difrɛn infɛkshɔn dɛn.
• We pɔsin it pɔyzin.

Bikɔs ɔf di damej we di aylid dɛn gɛt

Di aylid kin pwɛl ɔ gɛt skata difrɛn we dɛn. Dɛn tin ya na:

• Kכndishכn dεm lεk `Lax aylid sεndrכm (LES)`.If na so i bi, di aylid dɛn kin lɔs ɛn drɔp izi wan. `(Floppy eyelid syndrome (FES))` na wan pan dɛn kayn tin ya. If na so i bi, di aylid dɛn kin rol aut izi wan, sɔm tɛm dɛn kin ivin aksidɛntli. `(Floppy eyelid syndrome)` dεn kin si am mכst pan man dεm we fat we dεn bכdi mas indeks (BMI) we pas 25 ia.
• Sɔm mɛrɛsin, lɛk Stevens-Johnson syndrome, kin mek yu skin gɛt blista.
• Kεmikכl we de bכn.
• San damej to di skin.
• di aylid כpεrayshכn, fכ egzampl `(ptosis ripa)` כ `(blepharoplasty)`.

Aw fɔ no `(Lagophthalmos)`?

If yu gɛt dɛn sik ya, go to pɔsin we de kia fɔ yu yay we go du difrɛn tɛst fɔ no if yu gɛt dis sik. Bɔku tɛm, di dɔktɔ go du dɛn tin ya:

• Dɛn go aks kwɛstyɔn bɔt yu wɛl bɔdi istri, lɛk ɔda sik dɛn we yu gɛt ɛn di mɛrɛsin dɛn we yu de tek.
• Dɛn go tɛl yu fɔ lɔk yu yay.
• Dɛn go si aw yu lɔk yu yay tranga wan.
• Dɛn kin mɛzhɔ di sayz fɔ yu yaylid dɛn.
• Dɛn kin wach aw ɔltɛm yu de blink ɛn if yu yaylid dɛn kin lɔk ɔl we yu blink.

Afta dɛn tɛst ya, di dɔktɔ kin tɛl yu ɛksaktɔli if yu gɛt ``Lagophthalmos'', if na so, us kayn i bi, ɛn aw i bad.

Aw dɛn kin trit Lagophthalmos?

Tritmɛnt fɔ `(Lagophthalmos)` dipen pan di kɔz. Yu dɔktɔ go tray fɔs fɔ trit di rizin we mek i gɛt dis sik. Fɔ ɛgzampul, if na infekshɔn, if na tumbu, ɔ if na sik na di skin, dɛn go trit am.

כl tu di we dεm de fכ trit di kכndyushכn ``Lagophthalmos''.

Tritmɛnt dɛn we nɔto ɔpreshɔn

• di yay dכp dεm (lεk `atificial tears`) de εp fכ ridyus di dray we di yay dεm de dray εn fכ kip di mכsichכ na di yay dεm.
• Put ɔntmɛnt na yu yay na nɛt. Dis kin mek yu gɛt ɛkstra mɔstɔ.
• Yuz tep fɔ kip di aylid dɛn lɔk na nɛt ɔ pat di yay fɔ mek di yay nɔ gɛt wata.
• Speshal glas (`mɔstɔ gɔgl`). Dɛn tin ya kin ɛp fɔ mek di yay dɛn wet.
• Smɔl wet dɛn we dɛn kin tep pan di aylid dɛn.

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn

Sɔntɛnde, mɔ if di sik bad ɔ if ɔda tritmɛnt nɔ ɛp, i kin nid fɔ du ɔpreshɔn.

• `Tarsorrhaphy`: dis involv fכ tay di aylid dεm togeda fכ sכm tεm כ fכ tεm, pat כ kכmplit wan.
• fכ put gold כ platina wet dεm na di כp aylid: Dis min fכ put sכm sכm wet dεm insay di כp aylid. Graviti de mek di aylid drɔp dɔŋ ɛn lɔk. Dis kin fayn fɔ pipul dɛm wae gɛt paralayt lagophthalmos (wan sik wae kin kam wae dɛn nɔr de woke fayn fayn wan).
• כpεrayshכn dεm fכ di כp aylid: dεn ya inklud כpεrayshכn pan di mכsul dεm we de insay di כp aylid (`retractor muscles`) εn skin graft.
• כpεrayshכn dεm fכ di lכw aylid dεm: dεn ya inklud כpεrayshכn fכ tayt di lכw εn "floppy" lכw aylid dεm εn skin graft fכ es di aylid dεm.
• Opareshɔn fɔ di fes: If na di fes paralayz mek lagophthalmos, dɛn kin du difrɛn ɔpreshɔn fɔ es di fes ɔp. Sɔm pan dɛn tin ya na di nerve grafts ɛn muv sɔft tisu.

Mɛmba se yu dɔktɔ go disayd us tritmɛnt we fayn fɔ yu, so tɔk to am bɔt am fayn fayn wan.

Ɛni kɔmplikeshɔn ɔ sayd ifɛkt de fɔ `(Lagophthalmos)` tritmɛnt?

As wit eni mεdikal tritmεnt, sכmtεm kכmplikεshכn dεm de we kin apin wit tritmεnt fכ ``Lagophthalmos.'' Dɛn tin ya nɔ kin apin to ɔlman, bɔt i fayn fɔ no bɔt dεm.

• Skaring we de mek pɔsin gɛt skata.
• Sik we de prɛd.
• Entropion - dis min se di aylid de tכn insay, we de mek di yay iritashכn.
• Aylid dɛn we de drɔp.
• Graft sayt ishu dɛn.

If sɔntin lɛk dis apin, yu fɔ tɛl di dɔktɔ wantɛm wantɛm.

Aw a kin manej di simptom dɛm fɔ `(Lagophthalmos)`?

Yu kin du sɔm tin dɛn fɔ ɛp fɔ mek yu yay wet.

• Yuz ay drɔp lɛk aw di dɔktɔ tɛl yu.
• Fɔ lɔk yu yay na nɛt ɛn ple tep.

If yu gɛt wan sik lɛk fɔ paralayz yu fes, yu kin nid ɛp bak wit tin dɛn lɛk fɔ it ɛn tɔk. Tɔk to yu dɔktɔ bɔt dat bak.

Aw a go ridyus di risk fɔ `(Lagophthalmos)`?

No we nɔ de fɔ mek dɛn nɔ du ``Lagophthalmos'' kpatakpata. Bɔt yu kin du tin dɛn fɔ protɛkt yu yay bay we yu:

• Wear tin dɛn we go kɔba yu yay we yu de wok ɔ ple kɔntakt spɔt.
• Wear sanglas we di san de shayn.
• Nɔ luk yu yay we yu nɔ nid.
• Wash yu an dɛn fayn fayn wan bifo yu tɔch yu yay.

Apat frɔm dat, if yu de tink bɔt ɔpreshɔn fɔ kɔrɛkt wan aylid we dɔn drɔp (`ptosis repair`) ɔ fɔ mek yu aylid fayn (`blepharoplasty`), mek shɔ se yu go to ɔkuloplastik ɔspitul dɔktɔ.Oculoplastic surgeons na ay dɔktɔ dɛn we spɛshal pan rikostrɔktiv ɔpreshɔn rawnd di yay.

Wetin go apin if a gɛt `(Lagophthalmos)`?

di prכgnosis fכ rεkכvεshכn frכm lagophthalmos jεnarali gud, εspεshali if i nכ siriכs. Lagophthalmos wae kin kam wit kondishɔn lɛk Bell’s palsy kin sɔlv fɔ insɛf.

Bɔt if di sik rili bad, i impɔtant fɔ mek yu go to di rayt tritmɛnt. If yu nɔ du dat, yu yay go pwɛl sote go.

Ustɛm a fɔ si dɔktɔ bɔt `(Lagophthalmos)`?

If yu gɛt ɛni wan pan dɛn tin ya, lɛk yu yay we dɔn dray, yu yay we gɛt wata, ɔ we yu de fil ɔltɛm se sɔntin dɔn stɔp na yu yay, yu fɔ rili go to dɔktɔ. Ɛspɛshali if yu notis ɛni chenj na yu vishɔn, nɔ ignore am.

If dɛn dɔn ɔlrɛdi no se yu gɛt `(Lagophthalmos)` ɛn yu de gɛt tritmɛnt fɔ am, bɔt di sik nɔ de bɛtɛ, ɔ ivin wɔs, tɛl yu dɔktɔ wantɛm wantɛm.

Sɔntɛnde yu nɔ kin ivin no se yu aylid dɛn we de ɔp ɛn dɔŋ nɔ de lɔk fayn te i mek prɔblɛm wit yu yay. Bɔrku tɛm, dis kayn lagophthalmos kin kam wit wan fes paralayz kɔndishɔn lɛk Bɛl in palsi. So, if yu gɛt ɛni prɔblɛm wit yu yay ɔ yu yay nɔ de fil fayn ɔltɛm, mek shɔ se yu go to dɔktɔ.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

So, ``Lagophthalmos`` na kכndyushכn we di aylid dεm nכ kin kכloz fayn fayn wan. Dis nɔto sɔntin we wi fɔ tek am layt, bikɔs wi yay na ɔgan dɛn we rili sɛnsitiv.

• If yu notis ɛnitin we nɔ kɔmɔn, we nɔ fayn, ɔ chenj na yu yay, duya nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.
• If di sayn dɛm lɛk dray yay, wata yay, ɛn filin fɔ grit de kɔntinyu, i kin bi sayn fɔ ``Lagophthalmos''.
• If dɛn no bɔt dis sik ɛn trit am kwik kwik wan, bɔku tɛm dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan.
• I rili impɔtant fɔ fala di advays we dɔktɔ gi yu ɛn protɛkt yu yay .

Na yu wok fɔ protɛkt yu yay, so wi de aks yu fɔ tek tɛm wit dis.

` Lagophthalmos, nɔ ebul fɔ lɔk di yay, di yay dray, di aylid, di fes nerv, ay ɔpreshɔn, Bɛl in palsi, kɔnia ɔlsa, fotophobia