Functional and cosmetic reconstruction of ocular laceration complicated by extensive eyelid degloving injury: A case report

• Published in: Trauma case reports Vol. 43; p. 100759
• Main Authors: Hihara, Masakatsu, Hikiami, Rina, Kakudo, Natsuko
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.02.2023; Elsevier
• Subjects: Case Report; Eyelid degloving injury; Facial degloving injury; Ocular perforation; Open-globe injury; Visual restoration; Open-globe injury; Facial degloving injury; Eyelid degloving injury; Ocular perforation; Visual restoration
• ISSN: 2352-6440; 2352-6440
• DOI: 10.1016/j.tcr.2023.100759

A 22-year-old woman sustained ocular laceration complicated by extensive an eyelid degloving injury when she accidentally fell and the drinking glass in her hand broke and cut her in the right eye area. She immediately noticed significant vision loss; thus, early surgical intervention was performed in collaboration with ophthalmologists and plastic surgeons. At 16 months after the injury, a good visual prognosis was achieved (visual acuity >20/40: IOL) without eye movement disorder or eyelid opening disorder, and phthisis bulbi and the need for prosthetic eye wear were avoided. Functional and cosmetic reconstruction can be achieved with concurrent emergency surgical intervention by ophthalmologists and plastic surgeons, even in cases of ocular laceration complicated by extensive eyelid degloving injury, where blindness and phthisis bulbi are predicted.