How To Deal With Inability To Close The Eyes Due To Facial Paralysis

Facial paralysis can cause difficulty in closing the eyes, which can lead to discomfort and potential complications. If you're experiencing this issue, it's important to take appropriate steps to protect your eyes and support recovery. Below are effective strategies to manage this condition during the acute phase of facial paralysis.

Use Appropriate Eye Care

One of the most critical aspects of managing facial paralysis is protecting the affected eye, especially at night when the eyelid may not close fully. In such cases, applying an antibiotic or lubricating eye ointment—like erythromycin ointment—can help prevent dryness and reduce the risk of corneal damage. This should be done regularly before sleep to ensure the eye remains moist and protected throughout the night.

Medical Treatment Options

During the early stages of facial paralysis, corticosteroids are often prescribed to reduce inflammation and swelling around the facial nerve. These medications can help improve recovery outcomes when started early. In some cases, antiviral drugs may also be used, especially if the paralysis is believed to be related to a viral infection such as herpes simplex.

Physical Therapy And Alternative Treatments

In addition to medication, physical therapy and alternative treatments can play a crucial role in recovery. Techniques such as facial muscle exercises, heat therapy, and gentle massage can help maintain muscle tone and prevent further atrophy. Acupuncture has also been shown to provide benefits for some patients by stimulating nerve function and promoting natural healing processes.

Recovery Outlook

While many patients experience significant improvement, the recovery timeline can vary. Approximately 80% of individuals with facial paralysis recover fully, especially with prompt and appropriate treatment. However, about 10–15% of patients may experience long-term symptoms or incomplete recovery, particularly if the nerve damage is severe. Early intervention is key to improving outcomes and minimizing lasting effects.