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EYLID TRAUMA

EYLID TRAUMA. ALI.R.Ashtari MD Isfahan University of medical sciences 1391. EYLID TRAUMA. Blunt Penetrating. Management. Take a careful history Record the best acuity for each eye Thoroughly evaluate the globe and orbit Obtain approtaiate radiologic studies

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EYLID TRAUMA

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  1. EYLID TRAUMA ALI.R.Ashtari MD Isfahan University of medical sciences 1391

  2. EYLID TRAUMA • Blunt • Penetrating

  3. Management 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

  4. Blunt Trauma Ecchymosis and edeuma

  5. Penetrating Trauma A detailed knowledge of eyelid anatomy Location and depth of the injury

  6. Lacerations not involring the eylid margin

  7. Lacerations involving the eyelid margin

  8. Trauma involving the canthal soft tissue

  9. Dog and Human Bites Partial-thickness and full-thickness eyelid laceration, canthalavulsions, and canalicular lacerations are common

  10. Burns

  11. Secondary Repair initial trauma Cicatricial changes surgical repair elliptical excislon Z-plasty Free skin grafts Tarsoconjunctivalgrafts Buccal mucosa Hard palate composite grafts Traumatic ptosis

  12. Eyelid and canthal reconstruction Priorities in eyelid reconstruction • Development of a stalili eyelid margin • Provision of adequate vertical eyelid height • Adequate eyelid closure • Smooth,epithelializedinteral surface • Maximum cosmesis and symmetry

  13. Eyelid Defect Not Involving the Eyelid Margin

  14. Eyelid defect involving the Eyelid Margin

  15. پایان

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