gms | German Medical Science

Background: Traumatic ocular injuries, especially those resulting in the displacement and permanent loss of periocular tissues, such as the eyelids, present special challenges for the involved ophthalmologist. First, the disrupted and damaged tissues must be repaired and often times reconstructed with the aid of grafts. Second, the traumatized tissue(s) must then be returned to the pre-trauma position as best as possible so that the function of the eye and periocular tissues can be restored. Third, the repair and reconstruction process must take into account the unpredictable, and sometimes excessive, scarring that can often accompany more difficult or multiple tissue graft procedures – this is often necessary to restore traumatized eyes.

Method: Case Report of a Surgical Repaired Traumatically Avulsed Eyelid.

Results: This case showed very good early post-operative healing with good cosmetic and reconstructive results. There was very little post-operative scarring and no post-operative infectinos.

Conclusion: This case encourages the use of amniotic membranes in traumatic eye injuries where there is loss of surface tissues and where the risk of scar formation and infection is high. Amniotic membranes inhibit scar formation while helping to sustain the viability of other grafted tissues, and they are easy to work with and apply around the eye.