Human bites of the eyelid

Area of Science:

• Ophthalmology
• Plastic Surgery
• Trauma Surgery

Background:

• Traumatic eyelid colobomas, often resulting from human bites, present a reconstructive challenge.
• Autogenous tissue grafting is a potential surgical approach for eyelid defect repair.

Observation:

• Five patients with traumatic eyelid colobomas due to human bites were evaluated.
• The study focused on surgical intervention using retrieved autogenous tissue.

Findings:

• All patients received prophylactic intravenous antibiotics.
• Surgical repair involved debridement, layered closure of the autograft, and lid margin suture placement.
• Two patients developed mild upper eyelid retraction, and two experienced cilia loss post-surgery.

Implications:

• Autogenous tissue grafting can be a viable option for reconstructing traumatic eyelid colobomas.
• Potential complications like eyelid retraction and cilia loss should be considered during patient management and follow-up.