The document discusses eyelid trauma, including types such as blunt and penetrating injuries, their causes, and management strategies. It emphasizes the importance of prevention through protective measures and the risks associated with specific activities and demographics. Additionally, it references various clinical sources and studies related to eyelid injury treatment and outcomes.

1. Eyelid Trauma
Md. Mehedi Hasan
Jr. Optometrist

2. •Blunt trauma
•Penetrating/Perforating

3. Perforation

4. Blunt trauma to eyelid
•Hand assault (punch)
•Pedestrian injuries
•Hit – object , crowd , unknown
•RTA
•Falls
•Sports

5. Penetrating trauma to eyelid
•Knives, Scissors, Screwdrivers, Nail cutter
or any other sharp objects
•Dacoits
•Bamboo fence
•RTA
•Fish hook

6. Contusion

7. Laceration

8. •Partial thickness
•Full thickness
•Canalicular lacerations

9. Partial thickness

10. Full thickness

11. may also include:
•corneal abrasions,
•foreign bodies,
•orbital fractures.

12. Management and Repair
•General treatment :
•Surgery:
•Complications:

13. Lid margin notching

14. Canalicular Laceration

15. Bowman probe of canaliculus to confirm
laceration

16. Canalicular Laceration

17. Left lower eyelid punctal dilation

18. Repair of canalicular laceration
•1. Bicanalicular Stents
•2. Monocanalicular Stents

19. Bicanalicular Stents

20. Bicanalicular Stents

21. Monocanalicular Stents

23. Complications

24. repaired lower lid with canalicular injury
with stent.

25. Dog bite

26. Dog bite

27. Fish hook-
penetrating/
perforating

29. Risk Factors
•Sex: Males
•Age: Pediatric age group
•Environmental: dogs, transportation, work
•Other: Birth trauma during cesarean section

30. Primary prevention
• minimizing trauma to the face
• protective eyewear in high risk work or sporting
• be more precautious

31. References
• Walker RA, Adhikari S. Eye Emergencies. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. eds. Tintinalli’s
Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill;
2016. http://accessmedicine.mhmedical.com.proxy.westernu.edu/content.aspx?bookid=1658&sectionid=109444274. Accessed
June 15, 2019.
• ↑ Hatton MP, Thakker MM, Ray S. Orbital and adnexal trauma associated with open-globe injuries. Ophthalmic Plast Reconstr
Surg. 2002;18(6):458.
• ↑ Flach AJ. Eye Injuries. In: LaDou J, Harrison RJ. eds. CURRENT Diagnosis & Treatment: Occupational & Environmental Medicine,
5e New York, NY: McGraw-Hill;
2013. http://accessmedicine.mhmedical.com.proxy.westernu.edu/content.aspx?bookid=1186&sectionid=66479396. Accessed
June 14, 2019.
• ↑ Eyelid Lacerations in Children. (n.d.). Retrieved June 14, 2019,
from https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=P02085
• Zagelbaum BM, Starkey C, Hersh PS, et al. The National Basketball Association eye injury study. Arch Ophthalmol 1995; 113:749.
• Jung J, Braverman R. Eye. In: Hay, Jr. WW, Levin MJ, Deterding RR, Abzug MJ. eds. Current Diagnosis & Treatment: Pediatrics, 24e
New York, NY: McGraw-Hill;
. http://accessmedicine.mhmedical.com.proxy.westernu.edu/content.aspx?bookid=2390&sectionid=189076415. Accessed June
14, 2019.
• Tabatabaei A, Kasaei A, Nikdel M, et al. Clinical characteristics and causality of eye lid laceration in Iran. Oman Med J.
2013;28(2):97–101

32. • Ing, E. (2017, September 11). Eyelid Laceration Clinical Presentation: History, Physical, Causes. Retrieved June 15, 2019,
from https://emedicine.medscape.com/article/1212531-clinical#b4
• Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D. Orbital Wood. Detection by magnetic resonance imaging.
Ophthalmology 1990;95(5):608-611
• ↑ Swartz, J., Lu, K., Camilon, M., Holtz, M., Young, N., Ostermayer, D., . . . O'Brien, M. (2017, June 11). Eyelid laceration. Retrieved
June 15, 2019, from https://wikem.org/wiki/Eyelid_laceration
• https://eyewiki.aao.org/Eyelid_Laceration#:~:text=Eyelid%20lacerations%20refer%20to%20partial,open%20globe%2C%20or%20orbit
al%20fractures.
• ↑ Soll DB. Treatment of late traumatic eyelid problems. Trans Am Acad Ophthalmol Otolaryngol. 1976;81:0P560-565.
• ↑ Carroll RP.Management of eyelid trauma. In:Hornblass A, ed. Oculoplastic orbital, and reconstructive surgery. Baltimore: Williams &
Wilkins, 1988;(1)45:409-414.
• ↑ Pargament JM, Armenia J, Nerad JA. Physical and chemical injuries to eyes and eyelids. Clinics in Dermatology. 2015. 33:234–2
• Cochran ML, Czyz CN. Eyelid Laceration. [Updated 2019 Mar 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing;
2019 Jan-. Available from: https://www-ncbi-nlm-nih-gov.proxy.westernu.edu/books/NBK470367/
• ↑ Timoney PJ, Stansfield B, Whitehead R, Lee HB, Nunery WR. Eyelid lacerations secondary to caesarean section delivery. Ophthalmic
Plast Reconstr Surg. 2012 Jul-Aug;28(4):e90-2.
• ↑ Chandler DB, Gausas RE. Lower eyelid reconstruction. Otolaryngol Clin North Am 2005; 38:1033.
• ↑ Brown DJ, Jaffe JE, Henson JK. Advanced laceration management. Emerg Med Clin North Am 2007; 25:83.

33. Love your eyes,
Stay Protective