Assessment and Management of Eyelid Injury

Background and aim: Among all sites of injury, eyelid laceration seems to be neglected in terms of sufficient epidemiological investigations. With a thorough understanding of the causes of eye lid lacerations, it is possible to develop a better preventive strategy and hence improve the public health policy in this respect. Hence the aim of the study was to understand the type of eyelid injury and study management of the injuries.

Materials and methods: A total of 100 cases that were reported to the hospital department opd with the chief complain of blunt as well as penetrating eye lid injuries were included in the study. Evaluation by a physician was done for all cases to note the presence of any systemic diseases and for opinion regarding fitness for surgery. In cases where General Anaesthesia (GA) was used, Anaesthetist examined the patient and opined regarding status of the patient towards GA.

Results: The results of the present study showed that 3rd and 4th decade were more prone to the eyelid injuries. Majority of the 58 cases showed involvement of left eye whereas the involvement of right eye was seen in 42 cases. In the present study, Minimonoka stent was used for 8 cases of canalicular lacerations and 8 cases of canalicular tear that were not affordable were repaired with 24G Venflon tube.

Conclusion: As the injuries occur more commonly due to road traffic accidents showing 54 cases in our study, preventive measures are to be taken while riding such as controlling speed. Domestic injuries are more common in females. This study showed that Minimonoka stent is an effective and easy tool in reconstructing canalicular tear, with successful anatomical and functional integrity.