5 Key Takeaways

• 1

  Exposure keratopathy is caused by incomplete eyelid closure and leads to corneal desiccation and symptoms like irritation and fluctuating vision.

• 2

  Management options for exposure keratopathy include lubrication, eyelid taping, surgical intervention, and scleral lenses.

• 3

  A 59-year-old woman with chronic facial nerve palsy experienced persistent exposure keratopathy despite previous treatments.

• 4

  Scleral lenses provided continuous corneal protection, improved visual acuity, and enhanced comfort for the patient.

• 5

  Timely consideration of scleral lenses may help reduce corneal disease and improve comfort in patients with paralytic lagophthalmos.