Complex Eyelid Lacerations: Evaluation and Management: Orbit and Oculoplasty

Edak Ezeanosike

Authors

Edak Ezeanosike Ophthalmic Plastic Surgery and Ocular Oncology Unit, Deparment of Ophthalmology, Federal Teaching Hospital, Abakaliki, Ebonyi State.

Abstract

Introduction: Lid lacerations may be simple requiring a straightforward repair, or complex, involving tissue defects that may require replacement for proper functioning of the eyelid as well as improve aesthetic appeal. Several procedures using differing tissue sources have been described alongside their advantages and drawbacks. The aim of this review is to present an overview of complex eyelid lacerations, and offer nuggets on systematic evaluation and management

Methods: The current literature on eyelid repair and reconstruction was reviewed. The biases of the author’s practice were also discussed.

Results: Eyelid anatomy1 , basic principles and goals of repair, simple versus complex lacerations were discussed. Summary of the goals include: to cover/ protect the globe (eye and vision); restore structure and function (position and movements) as well as aesthetics.

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References

Tyers AG and Collin JR. Colour Atlas of Ophthalmic Plastic Surgery. Fourth ed: Elsevier; 2018.

Black EH, Nesi FA, Calvano CJ, Gladstone GJ, Levine MR. Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Third ed. Black EH, Nesi FA, Calvano CJ, Gladstone GJ, Levine MR, editors: Springer; 2012 2012.

Yelin JB, Clayton-Dyer BJ, Naderi A and Esmaeli B. Eyelid reconstruction: an oculoplastic surgeon’s perspective. Plast Surg Nurs. 2001;21(4):192-195, 201.