Injuries to the Eyelid
Various types of injury can result in eyelid trauma. The eyelid can be injured by a sharp object or even a blunt object. The eyelid’s unique anatomy makes it challenging to repair, and Dr. Zoumalan has had training in repairing simple to complex types of eyelid trauma. It is important to evaluate the eyeball itself and surrounding structures such as the orbital bones and the tear duct system whenever there is an eyelid trauma.
Dr. Zoumalan is an Oculoplastic surgeon and has experience in repairing eyelids that have undergone trauma. He is a Adjunct Clinical Professor at the Keck School of Medicine of USC and continues to teach doctors the skills of eyelid plastic surgery. Dr. Zoumalan continues to help in extensive and complicated eyelid trauma as a Adjunct Clinical Professor
Dr. Zoumalan performs revisional eyelid surgery in those patients that may have had prior eyelid trauma surgery in the past. Oftentimes, the lid margin where the two severed ends never healed well, and as a result, the patient can complain of irritation, red eyes, tearing, and discomfort. Dr. Zoumalan’s training in complex eyelid reconstruction allows him to help those that may require revisional eyelid surgery related to prior trauma.
Depending on the severity of the lid trauma, Dr. Zoumalan may repair these in the office or the emergency room. In complicated cases which may involve deeper structures of the eyelid, the patient may often need to be taken to operating room where they will require some form of anesthesia.
Preoperative photo shows a full-thickness eyelid laceration of the right lower lid. Fortunately, his eye was unharmed. But not the laceration involved the eyelid margin which is where the eyelashes are located. The black mark that is drawn in denotes the extent of the injury. No tissue was lost in this injury, it was just lacerated.
With just local anesthesia, the patient was able to sit comfortably for the repair in the office. The eyelid margin including the eyelashes were approximated back to their normal orientation using severe sutures. This photograph was taken 3 weeks after the repair adn you can see that the lid is healing quite well.
This patient’s dog accidentally bit her eyelid. Fortunatley, the eye and the tear duct system were uninjured.
It was repaired using just local anesthesia and the patient healed quite well. The photo on the right was taken 4 months after the repair. Note that she is wearing artificial eyelashes which makes the appearance look different from her preoperative photo.
Common Eyelid Trauma Terminology
- Perforating trauma: The globe integrity is disrupted by a full-thickness entry wound and could be associated with prolapse of the internal contents of the eye. This needs to be urgently evaluated by an ophthalmologist and repaired if possible
- Closed globe injury or Non-penetrating trauma: The eye globe is intact, but there may be injuries to the eye that require immediate attention. An ophthalmologist should evaluate the eye and treat the injuries if possible.
- Penetrating trauma: The globe integrity is disrupted by a full-thickness entry wound and could be associated with prolapse of the internal contents of the eye. Prior to any eyelid repair, injuries to the eyeball need to be addressed and repaired if possible by an ophthalmologist.
- Blowout fracture of the orbit: A direct fracture to the orbital bones can happen from blunt trauma. The most common locations for a fractures are the orbital floor and the medial wall, due to sudden increased pressure on the orbital contents from the trauma. If significant enough, the orbital fracture may need to be repaired.
Preoperative Diagnosis: Right lower eyelid and canalicular (tear duct system) laceration. The patient’s tear duct system was also injured and required repair.
Procedure performed: Repair of right lower eyelid and canalicular (tear duct system) laceration. Photo was taken 6 months after injury and repair.
Preoperative Diagnosis:Left lower eyelid full thickness laceration from a dog-bite injury. His eye and tear duct system were uninjured.
Procedure performed: Repair of left lower eyelid and laceration. Photo was taken 2 weeks after injury and repair.
*Individual results may vary
All before and after pictures displayed are real patients who have consented to having their pictures published on our site. Individual results will vary with each patient and Dr. Christopher Zoumalan does not guarantee any outcomes of procedures shown. All pictures are meant for reference and illustrative purposes only.