Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
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Case #3 Lid Laceration
History
This 2 1/2-year-old girl was bitten by her neighbor's dog on the day of admission. The local ophthalmologist noted a laceration of the upper and lower eyelids in the medial canthal area. The child is currently healthy and on no medications. She has had the usual childhood diseases and her immunization record is up-to-date.
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Question #1
How do you determine the child's visual acuity?
Question #2
What is the possible outcome of this type of injury?
Question #3
Does this medial canthal eyelid laceration involve the canaliculus?
Photo #2
Photo #3
Question #4
Should the canaliculus be repaired?
Question #5
What are the consequences of failure to properly repair this type of lid laceration?
Question #6
If the canaliculus is repaired how should the repair be carried out?
References
McCord, Clinton D., Tanenbaum, Myron (eds.): Oculoplastic Surgery. Second Edition, Raven Press, New York, NY, 1987.
Smith, BC: Ophthalmic Plastic & Reconstructive Surgery, Vol 1 & Vol 2, CV Mosby Company, St. Louis, MO, 1987.
Stewart, WB: Ophthalmic Plastic & Reconstructive Surgery, Academy Manuals Program, American Academy of Ophthalmology, San Francisco, CA, 1984.