Trauma (Eyelid, Lacrimal, and Orbital)
Injuries to the eyelids, tear system and orbit most often occur suddenly and unexpectedly. Sometimes they can be life-altering. The American Academy of Ophthalmology has been very vocal in an attempt to educate people on proper precautions that they can take to protect their eyes in common daily activities. Visit their page about Preventing Eye Injuries for more information. These same facts and precautions can be applied to prevent trauma to the eyelid, tear system and orbit.
In the event of trauma, the priority is to evaluate the status of the eyes as any eye injuries must be addressed concurrently or before any oculoplastic repairs. A careful evaluation injury is important to estimate the extent of injury, associated other injuries and the most appropriate timing and setting for repair. CT scans are often performed to evaluate for orbital and facial injuries and foreign bodies.
Even with optimal care, it is important to understand that healing from eyelid, lacrimal, and orbital injuries can be slow and unpredictable. The likelihood of scarring, permanent damage, and additional surgery are much higher than in the controlled setting of elective surgery. Multiple specialists may be involved in the various phases of trauma care, particularly with complex injuries. The goal in any trauma is to return the injured tissue to as close to its normal function and appearance as possible. Depending on the injury, this is not always a realistic possibility. However, Dr. Escaravage and other specialists involved are committed to providing the best care possible, during the time of the initial injury and over the long term.