Management and Outcomes of Traumatic Eyelid Injuries in Assiut University Hospital

Vision is the most cared-for function of the human body, and the eyelids are provided to cover the eye for protection. Eyelids are not only protective curtains in front of the eyes but also contribute to the shape and beauty of the face. They are complex structures designed to protect the globe from various external trauma . Eyelids help to keep the corneas moist, protect against injury and excessive light, and regulate the amount of light reaching the retina. They are essential for the distribution and drainage of tears .

Traumatic eyelid injuries are a common occurrence and can range in severity from minor lacerations to more complex injuries involving the eyelid structures. These injuries can significantly impact a patient's visual function and cosmetic appearance. Understanding the epidemiology, clinical presentation, management approaches, and outcomes of traumatic eyelid injuries is important for optimizing patient care.

Eyelid injuries are an important subtype of facial trauma, which necessitates the ophthalmologist being competent and fully informed . Lacerated wounds of the eyelids are common features of ocular trauma and often occur in isolation without any associated intraocular injuries . Eyelid lacerations can be treated using different techniques depending on their depth, width, injury mechanism, and accompanying injuries. They can be repaired with primary closure, skin flap, or skin graft. Small defects limited to the skin of the eyelids can be repaired by direct closure .

Eyelid trauma may often appear trivial but can have profound effects on injury-associated morbidity. Recovery of full eyelid function and maintenance of the lacrimal apparatus are important considerations when approaching lid trauma [. Proper information and education can help individuals to avoid eye injuries and their substantial burden .

Inclusion criteria

• Patients of all ages presenting with traumatic eyelid injuries to the study institution in either ophthalmology or emergency departments

Exclusion criteria

• Patients presented with eyelid injuries who are:
• Presented late
• Presented after a previous intervention
• Known to have co-existing eyelid pathology (as tumors, infections, congenital abnormalities)
• Patients with incomplete medical records or loss to follow-up