Eyelid Injury

 Eyelid Injury

Etiology:

Eyelid injuries can occur in practically every facial injury. The fol-lowing types warrant special mention:

❖ Eyelid lacerations with involvement of the eyelid margin.

❖ Avulsions of the eyelid in the medial canthus with avulsion of the lacrimal canaliculus.

Clinical picture:

The highly vascularized and loosely textured tissue of theeyelids causes them to bleed profusely when injured. Hematoma and swell-ing will be severe (Fig. 18.1). Abrasions usually involve only the superficial lay-ers of the skin, whereas punctures, cuts, and all eyelid avulsions due to blunttrauma (such as a fist) frequently involve all layers. Bite wounds (such as dogbites) are often accompanied by injuries to the lacrimal system.

Treatment:

Surgical repair of eyelid injuries, especially lacerations withinvolvement of the eyelid margin, should be performed with care. The wound should be closed in layers and the edges properly approximated to ensure a smooth margin without tension to avoid later complications, such as cicatri-cial ectropion (Fig. 18.2).



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