Trauma & Injury

TRAUMA / INJURY

This one year old boy suffered a dog bite injury.

This one year old boy suffered a dog bite injury.

Trauma is relatively common in Malaysia, be it car accident, industrial accident, work place accident or children play with tools.  This form of injury also commonly occur in children, be it a mild eyelid laceration to something more serious such as corneal perforation.

Periorbital trauma often associated with injury / laceration/ tear around eyelid margins. Sometimes, it affect important structures such as tear duct / drainage system or lacrimal gland. Correct repair or reconstruction is important and is best to be performed by expert in this field (oculoplastic surgeon) to avoid unsightly scar, misalignment and persistent watery eye.

TREATMENT

Eyelid is a delicate multilayered and multistructural structure. Any disruption need to be aligned accordingly.  Disruption of of this can lead to lagophthalmos (unable to close the eye), misalignment and disfigurement.  Eyelid trauma laceration should be repaired with tarsus well aligned otherwise trichiasis (misdirected lashes) can develop and cause irritation to the eye.  Similarly even surgical induced trauma when it is not dealt with accurately can lead to problem.  We have seen a few cases of ptosis or unsightly chalazion scar secondary to poorly executed incision and curettage of chalazion.

If a person unfortunately do not have a satisfactory primary repair of eyelid injury, further eyelid surgery or reconstruction can be performed to bring the eye back to normal.

Pre op: This one year old boy suffered from a dog bite injury. The canaliculus (tear drainage duct was injured ) and it is very important to repair it well otherwise the child will suffered permanent watery eye.

Pre op: This one year old boy suffered from a dog bite injury. The canaliculus (tear drainage duct was injured ) and it is very important to repair it well otherwise the child will suffered permanent watery eye.

Post op: This boy recovered well one month after suturing of wound and insertion of mini monoka tube.

Post op: This boy recovered well one month after suturing of wound and insertion of mini monoka tube.

Pre op: A barbed wire has gone ito right

Pre op: A barbed wire has gone ito right

Post op: There is minimal scar in the lower right corner of the eyelid

Post op: There is minimal scar in the lower right corner of the eyelid

Pre op: motor vehicle accident leading to laceration on the side of the eye.

Pre op: motor vehicle accident leading to laceration on the side of the eye.

Post op: Well healed wound with no distortion of eyelid margin

Post op: Well healed wound with no distortion of eyelid margin

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