Views

CrossRef citations to date

Altmetric

ORIGINAL RESEARCH

The Nictavi Tarsus Patch: A New Device for Achieving Temporary Eyelid Closure in Lagophthalmos

Sarah Guo1 Keck School of Medicine of University of Southern California, Los Angeles, CA, USA

Mark S Borchert2 The Vision Center at Children’s Hospital Los Angeles, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

Melinda Chang2 The Vision Center at Children’s Hospital Los Angeles, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

Sudha Nallasamy1 Keck School of Medicine of University of Southern California, Los Angeles, CA, USA;2 The Vision Center at Children’s Hospital Los Angeles, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

Mark W Reid2 The Vision Center at Children’s Hospital Los Angeles, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

https://orcid.org/0000-0002-1942-225X

Sandy Zhang-Nunes1 Keck School of Medicine of University of Southern California, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

Jessica R Chang1 Keck School of Medicine of University of Southern California, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USA

Angeline M Nguyen1 Keck School of Medicine of University of Southern California, Los Angeles, CA, USA;2 The Vision Center at Children’s Hospital Los Angeles, Los Angeles, CA, USA;3 Roski Eye Institute at the University of Southern California, Department of Ophthalmology, Los Angeles, CA, USACorrespondence[email protected]

show all

Abstract

Purpose

To evaluate the effectiveness, tolerability, and safety of the Nictavi Tarsus Patch™ (NTP) in inducing temporary eyelid closure for the management of lagophthalmos in the pediatric and young adult population.

Methods

We prospectively enrolled 20 patients <21 years of age who had previously been managed for lagophthalmos to trial the NTP in clinic. Inter-palpebral fissure distance (IPFD) was compared before and after the placement of the NTP in the eyes-closed position using paired t-tests. Subjects then underwent a 3-night home trial with the NTP, and parent and subject perceptions of effectiveness, comfort, and complications with the patch were analyzed using Likert scale survey questions.

Results

Twenty subjects ages 2–20 years with paralytic (65%) and non-paralytic (35%) lagophthalmos were enrolled. The NTP improved lagophthalmos from a mean pre-placement IPFD of 3.3 mm to post-placement IPFD of 0.4 mm (p < 0.01). Overall, 80% of subjects achieved successful eyelid closure defined as ≤1 mm of post-placement IPFD. When stratified by subtype, 100% of subjects with paralytic lagophthalmos achieved successful eyelid closure compared to 71% of subjects with non-paralytic lagophthalmos. On a scale of 1 (worst) to 5 (best), parents rated the NTP at 4.3±0.7 for comfort while wearing, 4.3±1.0 for comfort in removing, 4.6±0.7 for ease of use, and 4.3±0.9 for effectiveness. Ninety-three percent of parents reported preferring NTP to other eyelid closure methods previously tried and indicated that they would use it again.

Conclusion

The NTP is an effective, tolerable, and safe method of eyelid closure for children and young adults.

Keywords:

Acknowledgments

The authors thank Brianne Brown (clinical research coordinator) for her essential role in enrolling patients and Dr. Anthony Aldave for his advice on study design.

Disclosure

The authors report no conflicts of interest in this work.

The Nictavi Tarsus Patch: A New Device for Achieving Temporary Eyelid Closure in Lagophthalmos

Purpose

Methods

Results

Conclusion

Information for

Open access

Opportunities

Help and information

The Nictavi Tarsus Patch: A New Device for Achieving Temporary Eyelid Closure in Lagophthalmos

Abstract

Purpose

Methods

Results

Conclusion

Acknowledgments

Disclosure

Related research

To cite this article:

Download citation

Information for

Open access

Opportunities

Help and information

Keep up to date

Your download is now in progress and you may close this window

Login or register to access this feature