ALI.R.Ashtari MD
Isfahan University
of medical sciences
1391
•Blunt
•Penetrating
Take a careful history
Record the best acuity for each eye
Thoroughly evaluate the globe and
orbit
Obtain approtaiate radiologic studies
Have a detailed knowledge of eyelid
and orbital anatomy
Ensure the best primary repair
Ecchymosis and edeuma
A detailed knowledge of
eyelid anatomy Location and
depth of the injury
Partial-thickness and full-thickness
eyelid laceration, canthal avulsions, and
canalicular lacerations are common
initial trauma
Cicatricial changes
surgical repair
elliptical excislon
Z-plasty
Free skin grafts
Tarsoconjunctival grafts
Buccal mucosa
Hard palate composite grafts
Traumatic ptosis
Priorities in eyelid reconstruction
• Development of a stalili eyelid margin
• Provision of adequate vertical eyelid height
• Adequate eyelid closure
• Smooth,epithelialized interal surface
• Maximum cosmesis and symmetry
‫پایان‬