Principles of Management of Eyelid Trauma: A Review
Keywords:
canthal injuries, canalicular laceration, eyelid injury, eyelid laceration, Eyelid traumaAbstract
Background: Eyelid trauma is a common day to day ophthalmic emergency, presenting to both general emergency room physicians as well as ophthalmology emergency sections. Often, these cases are inadequately managed due to lack of requisite understanding of eyelid anatomy, inadequate surgical skills by the primary attending physician and the presence of more severe life-threatening injuries which could cause delay in prompt ophthalmic intervention. The consequence therefore is a heightened risk of eyelid, ocular, visual, and aesthetic complications, which if not adequately managed could negatively impact the quality of life (QoL) of the injured.
Purpose: This review article, with focus on mechanical eyelid trauma, aims to present a simplified guide on the principles of management of eyelid trauma with the hope of providing an algorithm to facilitate decision making on eyelid trauma reconstruction.
Conclusion: Requisite knowledge and skills, adoption of basic principles and early referral where necessary, together with prompt multidisciplinary intervention, would ensure anatomical and functional restoration of the eyelid, as well as minimize post traumatic complications.
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
AlMahmoud T, Al Hadhrami SM, Elhanan M, Alshamsi HN, Abu-Zidan FM. Epidemiology of eye injuries in a highincome developing country: An observational study. Medicine (Baltimore). 2019; 98(26)
Balogun BG, Adekoya BJ, Balogun MM, Ngwu RV, Oworu O. Ectropion and entropion in sub-Saharan Africa: How do we differ? Ann Afr Med 2013; 12:193- 196.
Damasceno RW, Osaki MH, Dantas PE, Belfort R Jr. Involutional entropion and ectropion of the lower eyelid: Prevalence and associated risk factors in elderly population. Ophthal Plast Reconstr Surg 2001; 27: 317-320.
Mitchell P, Hinchcliffe P, Wong JJ, Rotchchina E, Foran S. Prevalence and associations with ectropion in an older population: The Blue Mountains Eye Study. Clin Experiment Ophthalmol 2001; 29: 108-10.
Rajul Agarwal, Narendra Patidar, Amit Mohan, Rukmendra Singh, Pradhnya Sen. Pattern of Presentation and Surgical Outcomes of Canalicular Laceration Repair in a Pediatric Population. J Pediatr Ophthalmol Strabismus. 2021; 58(1):42-47.
Amit Raj, Sahil Thakur, Kumar Sudesh Arya, Prem Kesarwani, Upasna Sinha Canalicular lacerations in a tertiary eye hospital: our experience with monocanalicular stents Rom J Ophthalmol. 2020 Apr-Jun; 64(2): 146–152.
Timoney PJ; Stansfield B; Whitehead R; Lee HB; Nunery WR Eyelid lacerations secondary to caesarean section delivery.Ophthalmic Plast Reconstr Surg. 2012; 28(4)
Oluyemi Fasina. “Epidemiology of penetrating eye injury in Ibadan: a 10- year hospital-based review.”Middle East African Journal of ophthalmology vol. 18,2 (2011): 159-163.
Yiltok SJ, Wade PD, Mpyet CD, Alli SK, Orkar KS. Eyelid Injuries: A Nine-Year Review of Management.Nigerian Journal of Orthopaedics and Trauma Vol.3(2) 2004: 118-128
Odugbo OP, Mpyet CD, Wade PD, Adenuga OO, Adejoh MO. An Audit of Minor Ophthalmic Surgical Interventions in a Tertiary Eye Care Facility in Northern Nigeria. Journal of the West African College of Surgeons. 2014 AprJun;4(2):26-46.
Charles Oluwole Omolase, Ericson Oluseyi Omolade, Olakunle Tolulope Ogunleye, Bukola Olateju Omolas, Chidi Oliver Ihemedu, Olumuyiwa Adekunle Adeosun, J Ophthalmic Vis Res. 2011; 6(2): 114–118.
Anuradha A, Raman M, Jarika J. A studyon evaluation of eyelid trauma in a tertiary care center. TNOA J Ophthalmic Sci Res 2019; 57:122-127.
Dutton J.J. Atlas of Oculoplastic and Orbital Surgery. 2nded. Wolters Kluwer/ Lippincott Williams & Wilkins. 2018
Tyers A.G .Collin J.R.O.Colour Atlas of Ophthalmic and Plastic Surgery 4th ed Butterworth Heinemann Elsevier. 2017
Ing E, Ing T, Emara B. Ocular adnexal injuries from industrial blunt hook trauma.Can J Ophthalmol. 2002 Apr. 37(3):177-178.
Lee H, Chi M, Park M, Baek S. Effectiveness of canalicular laceration repair using monocanalicular intubation with Monoka tubes. Acta Ophthalmol. 2009; 87(7): 793–796.
Sushil K umar, Sima Das, Zia Chaudhari, Vandana Kohli. Basic principles of lid repair and Reconstruction. DOS times September, 2006; 3: 210-214.
Dunkin J.M., Crum A.V., Swanger R.S., Bokhari S.A. Globe trauma.Semin Ultrasound CT MR. 2011 Feb;32(1):51– 56.
Lakits A., Prokesh R., Scholda C., Bankier A. 1999.Orbital helical computed topography in the diagnosis and management of eye trauma. Ophthalmology 106, 2330–2335
Waseem et al.: Is there a relationship between wound infections and laceration closure times? International Journal of Emergency Medicine 2012 5:32.
Cochran ML, Czyz CN. Eyelid Laceration. [Updated 2020 Mar 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan.
Herzum H, Holle P, Hintschich C. Lidverletzungen. Epidemiologische Aspekte [Eyelid injuries: epidemiological aspects]. Ophthalmologe. 2001 Nov; 98(11): 1079-1082.
Christine C. Nelson Review of management of eyelid trauma. Australian and NewZealand Journal Ophthalmology, 1991- 94; 357- 363
Wulc AE, Arterberry JF. The pathogenesis of canalicularlaceration. Ophthalmology. 1991; 98 (9):1243–1249.
Jordan DR, Ziai S, Gilberg SM, Mawn LA. Pathogenesis of canalicular lacerations. Ophthalmic Plast Reconstr Surg 2008; 24:394-398
Kennedy RH, May J, Dailey J. Canalicular laceration. An 11-year epidemiologic and clinical study. Ophthal Plast Reconstr Surg 1990; 6:46-50
Milind N.Naik, Anagha Kelapure, Suryasnata Rath, Santosh G. Honavar. Management of Canalicular Lacerations: Epidemiological Aspects and Experience with Mini-Monoka Monocanalicular Stent. American Journal of Ophthalmology Volume 145, Issue 2, February 2008 ;145(2): 375-380.
Lima-Gómez V, Mora-Pérez E. Lesiones oculares asociadas a heridas palpebrales con y sin afección de la vía lagrimal. [Ocular lesions associated with lid wounds with or without tear duct affection]. Cir Cir. 2006 JanFeb;74(1):11–14.
Struck HG. [Lacrimal system lacerations and their surgical repair]. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen
Gesellschaft. 2009 Mar;106(3):223-228.
Swati Singh, Anasua Ganguly, Apurva Hardas, Devjyoti Tripathy & Suryasnata Rath (2017) Canalicular lacerations: Factors predicting outcome at a tertiary eye care centre, Orbit, 36:1, 13-18.
Nayana Potdar, Shruti Shirwadkar, Amol Ganvir, Swaranjali Gore, Chhaya Shinde. Outcomes of canalicular tear repair using a Mini-Monoka silicone stent: Results from a tertiary care centre. IP International Journal of Ocular Oncology and Oculoplasty. October-December, 2017; 3(4) :261-264.
Örge FH, Dar SA. Canalicular laceration repair using a viscoelastic injection to locate and dilate the proximal torn edge. J AAPOS. 2015 Jun;19(3):217- 219.
Walter WL. The use of the pigtail probe for silicone intubation of the injured canaliculus. Ophthalmic Surg. 1982 Jun;13(6):488–492.
Tint NL, Alexander P, Cook AE, Leatherbarrow B. Eyelid avulsion repair with bi-canalicular silicone stenting without medial canthal tendon
reconstruction. Br J Ophthalmol. 2011;95(10):1389–1392.36. Kalin-Hajdu E, Cadet N, Boulos PR. Controversies of the lacrimal system. Surv Ophthalmol. 2016;61(3):309–313.
Singh M, Gautam N, Ahir N, Kaur M. Is the distance from punctum a factor in the anatomical and functional success of canalicular laceration repairs? Indian Journal of Ophthalmology. 2017;65 (11):1114–1119.
Chowdhury HR, Rose GE, Ezra DG. Longterm outcomes of monocanalicular repair of canalicular lacerations. Ophthalmology. 2014;121(8):1665 –1666.
Mo YW, Cho GY, Mo YT, Lee DL. National level data analysis of facial lacerations in Korea using the National Health Insurance Service (NHIS) database. Medicine. 2021; 100:9.
Shahid Alam, Neha Shrirao Mehta, Bipasha Mukherjee. Anatomical and functional outcomes of canalicular laceration repair with self retaining miniMONOKA stent. Saudi Journal of Ophthalmology.2017; 31(3); 135-139.
Fini, Giuseppina, Frontero, Laura Cascino, Flavia; Mici, Elidon; Pellacchia, Valentina; Carini, Maria Luisa, FrontoOrbito-Zygomatic Trauma with Eyelid Involvement, Journal of Craniofacial Surgery: July 2011; 22:(4)1287-1293. Transactions of the Ophthalmological Society of Nigeria August 2020 - Volume 5 No 1 17 Principles of Management of Eyelid Trauma
Mo YW, Cho GY, Mo YT, Lee DL. National level data analysis of facial lacerations in Korea using the National Health Insurance Service (NHIS) database. Medicine. 2021; 100:9
Thuzar M. Shin, Jeremy S. Bordeaux. The Role of Massage in Scar Management: A Literature Review. 2012 38 (3) 414– 423.
Murdock J, Sayed MS, Tavakoli M, Portaliou DM, Lee WW. Safety and efficacy of a growth factor and cytokinecontaining topical product in wound healing and incision scar management after upper eyelid blepharoplasty: a prospective split-face study. Clin Ophthalmol. 2016; 10:1223-1228.
Tabatabei A, Kasaei A, Nikdel M, Shoar S. Clinical characteristics and causality of eyelid laceration in Iran. Oman Med J 2013; 28:97-101.
Scott R. The injured eye. Philos Trans R Soc Lond B Biol Sci. 2011 Jan 27; 366 (1562):251–252.