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Leprosy Training Module for Medical Officers

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VMT – Facial Nerve<br />

Ask the patient to close his eyes<br />

and keep them lightly closed as if<br />

in sleep. If there is a gap visible<br />

between the upper and lower<br />

eyelids ( Lagophthalmos ) ,<br />

measure the gap.<br />

If there is no gap, ask him to<br />

close the eye tightly, and try to<br />

pull the lower lid down and see<br />

whether the patient is able to<br />

keep his eyes closed against<br />

resistance.<br />

If he is able to do so, the grade is<br />

S, else the grade is W.<br />

If there is a gap when he closes<br />

his eye, the grade is P.<br />

Also note whether the upper<br />

eyelid is able to cover the cornea<br />

completely.<br />

21

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