Succesful eyelid reconstruction surgery - case report

Abstract

Facial trauma often involves injuries to the eyelid and periorbital region. Management of these injuries is quite a challenge due to a proximity of multiple anatomic structures. A 45-year-old man presented to the hospital two days after severe eye injury. Physical examination revealed a holohedral laceration of lower eyelid, damage of tear ducts and amblyopia of his left eye. CT examination of eye sockets excluded fracture of the left orbit walls and presence of foreign body. Reconstruction of the left lower eyelid was performed. The inferior tear duct was not visualized. A fragment of the full-thickness eyelid covered with necrosis was excised. Patient received an antibiotic therapy, metronidazole and hydrocortisone. Local treatment of the operated eye included Floxal, Tobrex, Vigamox and humid chamber. Patient was discharged from the hospital after three days and was to come to the clinic after a week for a check-up, during which some of the sutures were removed and no complications were found. Eyelid reconstruction surgery can prevent serious complications, including lacrimation and tear flow disorders, corneal exposure, and fissure regurgitation. In this case, the procedure turned out to be successful despite the patient's significant neglect of the situation. However, it is crucial to prevent the causes of late patient reporting in emergencies and to raise public awareness of possible consequences of such behavior.

Key words: eye; eyelids; trauma; eyelid reconstruction; emergency.