Search

Ocular trauma is one of the leading causes of ocular morbidity all over the world. The most dreaded among this is penetrating trauma, one that can scare even the most experienced of eye surgeons. It requires immense skill on the part of the surgeon to restore the structure and function of the globe. Most penetrating traumas that affect the eyelid also penetrate the globe. It is very rare for an object to penetrate the lid and spare the globe. In this case series, we would like to present two cases of penetrating injury, wherein a fish hook in one case and glass shard in another, pierced the eyelid and missed the globe by a whisker. We would also want to discuss our line of management in tackling this case.

Aim: This study aims to evaluate traumatic eyelid injuries and assess functional outcome following treatment. Materials and Methods: A prospective study of 30 cases of lid injury was conducted at Orbit and Oculoplasty Department, Regional Institute of Ophthalmology and Government Ophthalmic Institute, Egmore, Chennai, Tamil Nadu, for 12 months from February 01, 2017, to February 01, 2018. Data collected were entered into Excel Spreadsheet and analyzed using STATA statistical software package release 11. Results: The incidence of lid injuries was more in males (63%) compared to females (37%). The most common mode of injury of the eyelid was accidental fall (36.7%) and assault (23.3%). Majority of the cases presented within 6 h of injury. Full-thickness involvement was seen in 20 patients (66.7%). Involvement of the eyelid margin was seen in 18 patients (60%) and was managed by three-layer margin suturing canalicular involvement in 8 cases (26.7%) underwent monocanalicular stent placement. About 40% of patients complained of epiphora and were not satisfied with cosmetic results. Conclusion: This study reveals that young adult males, most of whom were workers, were more prone to eyelid injuries. Timely meticulous management of the eyelid injury with minimal debridement of the wound and tension-free suturing gives better cosmetic outcome. Epiphora, notching of lid margin, or ectropion was the most common complication postoperatively.

BACKGROUND: Eyelid injuries are usually associated with injury to the eyeball therefore they are mostly reported along with such injuries. This report is a review of cases of eyelid injuries managed in the Jos University Teaching Hospital (JUTH), Jos Central Nigeria. PATIENT AND METHOD: This is a retrospective study of patients with eyelid injuries that were managed over 9 years. The information obtained from the patient's case notes included demographic data, cause, location and type of injury as well as the object responsible for the injury and modality of treatment. RESULT: Sixty six patients with eyelid lid injuries were managed. Fifty seven were males and 9 were females giving a male: female ratio of 6.3:1. The age ranged from one year to 62 years with a mean of 24.8 ± 13.4 years. Thirty percent of the patients were within the third decade of life. There were 36 (54.5%) cases of laceration, 20 (30.3%) cases of abrasions/bruises and 7 (10.6%) cases of avulsions. Road traffic accidents were responsible for most of the injury (27.3%) followed by fights/assault (21.2%) and sports/recreation activities (18.4%). The most frequent objects associated with the injuries were metals (41.0%), fist/feet (13.6%), stone (12.1), and wood (10.6%). There were more injuries to the upper eyelid, while eyeball trauma was the most common associated injury. Twenty three (34.9%) patients who were managed conservatively had no need for suturing or reconstruction. Flaps were used for reconstruction in three (4.5%) patients while direct closure was undertaken in forty (60.6%) patients where such closure will not impair eyelid function. CONCLUSION: Eyelid injury can occur with or without extensive trauma to the eyeball. The upper eyelid is commonly affected and complex reconstruction may be required in cases with extensive injury. KEYWORDS: Eyelid injury, causative factor, repair, reconstruction Nigerian Journal of Orthopaedics and Trauma Vol.3(2) 2004: 118-128