What is a common complication of Bell's palsy and how is it managed?

• A. Eyelid inability to close; protect the eye with eye drops and eye patches or tape at night
• B. Loss of taste on the tongue
• C. Hearing loss
• D. Dizziness

Answer: (A)

In Bell's palsy, weakness of the facial muscles around the eye can prevent the eyelid from closing completely. This leads to corneal exposure, which can dry out the cornea, cause irritation, or even result in corneal injury if not protected. The best management is to protect the eye: use lubricating eye drops during the day, a lubricating ointment at night, and keep the eye protected with tape or an eye patch while sleeping. Some patients also use moisture-chamber goggles or protective eyewear to reduce evaporation. Prompt ophthalmology follow-up is important if there are any signs of corneal irritation or injury.