Evaluation and Management of Eyelid and Canalicular Injuires

Purpose: To investigate the etiologic factors that cause eyelid, eyelid margin and canalicular injuires and surgical outcomes.

Materials and methods: Medical records of 180 patients, who were admitted to the emergency department due to trauma, between 2017 and 2021 years were analyzed retrospectively. The incidence and etiology of the trauma, clinical signs, visual acuity, surgical procedures and possible complications were recorded. Patients with orbital trauma, globe perforation and those with facial injuires were not included in the study. Mean follow-up period was 8 months.

Results: 68 men and 12 women, with a mean age of 29.58 ± 19.52 years were included in the study. 45% of the injuires were caused by penetrating trauma between the ages of 26-45, and 55% were caused by blunt trauma, between the ages of 1.15.Of the eyelid traumas 38.8% were work-related, 23.6% were falls, 11.3% were game injuires and 8.8% were home accidents. According to injured site 31.2% had canalicular injury with eyelid margin lacerations, 42.5% had eyelid margin injury, 13.8% had levator aponeurosis injuires, 12.5% had total eyelid avulsion. Canalicular injuires were repaired either by annular intubation with pigtail probe or the monocanalicular intubation. In cases with tissue loss injuires, repair was performed using an advancement flap and free tarsal flap. Postoperative complications were 6.6% traumatic telecanthus, 6.6% traumatic ptosis, and 6.6% canalicular stenosis.

Conclusion: The eyelid traumas, mostly treated in the emergency room, needs a well-planned and complex treatment to achieve good cosmetic results and to reduce the possibility of postoperative anatomical and functional disorders.

Author(s): Titap Yazicioglu

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