Etiopathogenesis, management and outcome of Lid Trauma at Sarojini Devi Eye Hospital

Abstract

Objective: The main objective is to study the causes of eye lid injuries of patients, management of injury and final outcome in terms of functional and cosmetic aspects among the patients attending the occuloplasty department, in Sarojini Devi Eye hospital Hyderabad.

Methods: This prospective interventional study was undertaken in patients who attended in occuloplasty department, in Sarojini Devi Eye hospital Hyderabad, and diagnoised on the basis of history, clinical symptoms and signs, and try by radiological study. A total of 60 cases of eyelid injuries were studied.

Results: Eye lid injuries were common in males (57%) and in females (22%), among children male (18%) 1 case were common in case of female children 2 (4%). Most of the eye lid injuries were present in the age group between 20-39 years i.e 25 cases (41%). Among the 60 patients RE 36 (60%) is more common than LE 24 cases (40%), in half of the patients 30 cases (50%) were injured, followed by upper lid 19 (30%), both eye lids were injured in 11 (18%) cases.

Conclusions: Eye lid trauma was 3 times more common in males than females, in the present study road traffic accidents (48%) were most common cause for eye lid injuries, 48% of eye lid injuries are full thickness without canalicular involvement, most of these injuries are usually associated with other globe injuries,66.33% of cases were managed with direct closure. Significant injuries with dog bite and with blouse hook while feeding were seen in children these were usually associated with medical canthal and lateral canthal injuries.