Eyelid lacerations secondary to caesarean section delivery.

Ophthalmic Plast Reconstr Surg

Oculofacial Plastic and Orbital Surgery, Department of Ophthalmology, Indiana University, Indianapolis, Indiana 46260, USA.

Published: October 2012

AI Article Synopsis

  • A 32-week-gestation female neonate was delivered via emergency caesarian section due to placental abruption, sustaining severe eyelid lacerations during birth.
  • The neonate had immediate surgical repair that included stenting her canalicular system, aimed at correcting the extensive eyelid damage.
  • Two months post-surgery, she shows positive recovery, with no signs of vision problems, highlighting the importance of informing expectant mothers about the risks of periorbital trauma during delivery.

Article Abstract

A 32-week-gestation female was delivered emergently via caesarian section to a mother in premature labor due to placental abruption. On delivery, the neonate was noted to have sustained right upper and lower eyelid full-thickness lacerations extending from the medial canthal area with associated right upper and lower full-thickness canalicular lacerations. The neonate underwent same-day surgical repair of her eyelid lacerations with stenting of her canalicular system with a Crawford tube. At 2 months postoperatively, the child is opening her right upper eyelid without any signs of deprivation ambylopia. This case demonstrates the need to inform expectant mothers of the intrinsic risks of periorbital trauma during the birthing process that may result in visual loss through either ambylopia and/or globe injury.

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Source
http://dx.doi.org/10.1097/IOP.0b013e3182364715DOI Listing

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