Dr.Tanvi Dilip Madia, Dr.Smita Singh, Dr.Ajay Kumar Shukla
History and Examination :
A 10 year old boy presented with a history of the right upper eyelid injury from a wire fence while playing.It was found that the loose end of the wire penetrated the full thickness of the eyelid in the direction opposite to the normal.After the application of topical anesthetic drops, the eye could be opened manually, the lid everted, and the wire passed out through the defect. Postoperatively patient had upper lid ptosis and corneal abrasion .Post removal, the acuity increased to 6/9 with accurate projection of rays and there was no intraocular penetration. Full recovery was observed as well.
Conclusion : A severe eyelid penetrating injury can be uncomplicated or with few complications not threatening vision with a full recovery when there is no intraocular penetration. It is also possible to have an injury pass under the lower margin of the lid and penetrate from inside to out, with no associated corneal injury.
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