Emergency of Ocular Adnexa

Chapter
Part of the Ocular Trauma book series (OCTRA)

Abstract

Injuries to the ocular adnexal structures also need emergency care. Eyelid lacerations can be partial or full thickness, with or without tissue loss. The wounds should be cleaned, foreign body should be removed, and the lacerations of eyelid should be closed layer by layer. Lacrimal injury can induce dislocation and obstruction of lacrimal passage; therefore, it should be sutured and a supporting tube should be placed. Patients with orbital fracture may present impairment of eye movements and enophthalmos. Surgery is needed to restore the anatomy of orbit. Traumatic optic neuropathy may lead to variable severity of visual acuity loss ranging from normal to no light perception. Although corticosteroid and surgical decompression were reported to treat traumatic optic neuropathy, there is no randomized control trials supporting they can provide additional benefit compared to observation alone.

Keywords

Ocular adnexa injury Eyelid trauma Injury of the lacrimal system Orbital fracture Traumatic optic neuropathy 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Haoyu Chen
    • 1
  • Dan Chao
    • 2
  • Guihua Xu
    • 3
  • Chen Lin
    • 4
  • Zeyi Li
    • 1
  1. 1.Shantou International Eye CenterShantou University and the Chinese University of Hong KongShantouChina
  2. 2.Guangdong General HospitalGuangzhouChina
  3. 3.HuiZhou Municipal Central HospitalHuizhouChina
  4. 4.Shenzhen Aier Eye HospitalShenzhenChina

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