An artificial eyelid usually refers to prosthetic or implant-based solutions that help the eyelids protect the eye when natural lid function is lost. These can be external prostheses or internal devices that assist closure and blinking.
Types and Uses
External prosthetic lids or shells may be fitted over severely damaged lids for cosmetic purposes when the eye is blind or removed. Internal devices such as gold weights or springs are implanted in the upper lid to improve closure in facial palsy.
- Goals include protecting the cornea, maintaining moisture, and improving appearance
- Choice depends on whether the eye still sees and on residual muscle and nerve function
- Multidisciplinary care with oculoplastic and prosthetic specialists is often needed
- Regular review ensures continuing corneal safety and prosthesis fit
Considerations
Artificial eyelid solutions may not fully restore normal blinking but can markedly improve comfort and cosmesis. Ongoing lubrication and eye protection remain important.
- Complications include implant extrusion, infection, or cosmetic mismatch
- Adjustments or replacement may be required over time
- Patient expectations should be carefully managed before surgery
- Psychological support can help patients adapt to major facial changes
