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Delayed tarsal eversion following periorbital trauma
C D Rice1, M C Brodsky, K Hembree
1University of Arkansas for Medical Sciences, Little Rock, USA.
Ophthalmic Surgery
|July 1, 1995
Summary
A child experienced delayed eyelid swelling after eye trauma. Treatment with hyaluronidase and tarsorrhaphy rapidly resolved the severe swelling and restored normal eyelid position.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Trauma Surgery
Background:
- Periorbital trauma can lead to delayed complications.
- Eyelid edema and chemosis require prompt diagnosis and management.
Observation:
- A 3-year-old girl presented with delayed upper eyelid edema and severe conjunctival swelling (chemosis) after blunt periorbital trauma.
- Examination revealed a tightly everted upper tarsus compressing the conjunctiva.
Findings:
- Subconjunctival injection of hyaluronidase was administered.
- Local compression and temporary tarsorrhaphy were performed.
Implications:
- This treatment approach led to rapid resolution of chemosis.
- Normal eyelid position was restored, indicating an effective management strategy for this rare complication of periorbital trauma.
