ABSTRACT
A 34 years old male patient who was exposed to a stab wound to his left eye applied to the emergency service. His examination unveiled a full thickness avulsion in his lower and upper palpebra and bicanalicular laceration. Visual perception was 6/10 in his left eye. The examination of the anterior segment and the fundus was uneventful. He was emergently taken to the operating theatre and the laceration in the lower and upper palpebra were repaired after the application of bicanalicular nasal intubation. No ischemic outcome was present after the operation and the silicone tubes were removed by the end of postoperative sixth month. The most important point in the treatment of full thickness avulsion of the palpebra is the preservation of the tissue perfusion and the close follow up of the patients for the signs of ischemia.
Keywords:
Palpebral avulsion, canalicular laceration
References
1Refler DM, Management of canalicular laceration. Surv Ophthalmol 1991,36-113
2Herzum H, Holle P, Hintschich C, Eyelid injuries: epidemiological aspects. Ophthalmologe 2001,98-1079
3Kennedy RH, May J, Dailey J, Flanagan JC, Canalicular laceration. An 11 year epidemiologic and clinical study. Ophthal Plast Reconstr Surg 1990,6-46
4Tezel E, Sonmez A, Numanoglu A, Medial pedicled orbicularis oculi flap. J Amer Plast Reconstr Surg 2003,112-1964
5Gausas RE, Advances in applied anatomy of the eyelid and orbit. Curr Opin Ophthalmol 2004,15-422
6Lopez R, Lauwers F, Paoli JR, Boutault F, Guitard J, The vascular system of the upper eyelid. Anatomical study and clinical interest. Surg Radiol Anat May 2008,30-265
7Soueid NE, Khoobehi K, Microsurgical replantation of total upper eyelid avulsion. Ann Plast Surg 2006,56-99
8Argin A, Demir MN, Duman S, Kanalikül kesilerinde onarim teknikleri. Türk Oftalmoloji Gazetesi 31:327&ndash 2001
