Abstract

In modern medicine, neonatal traumatic injuries during childbirth are rare. More rarely are those during a cesarean birth. That is the first reported case of palpebral laceration and neonatal canicular cesarean section. We describe the joint work of early diagnosis by the pediatric team and the prompt ophthalmologic surgical intervention in a well-conducted case of right palpebral and canalicular laceration. The infant presents without permanent functional impairment during postoperative follow-up. Neonatal eyelid and canalicular laceration in cesarean delivery

Highlights

  • Expected during pregnancy, childbirth is a unique moment in a woman’s life

  • We describe the joint work of early diagnosis by the pediatric team and the prompt ophthalmologic surgical intervention in a well-conducted case of right palpebral and canalicular laceration

  • Corneal edema, and rupture of Descemet’s membrane are the most frequent ocular lesions. Such ocular traumas rarely cause permanent sequelae.(4,5) there are reports in the literature of a broad spectrum of ocular lesions including absence of globe,(6) facial palsy, subconjunctival hemorrhage, abrasion and corneal abscess, hyphema,(7) Purtscher’s retinopathy, macular hole,(8) choroidal rupture and traumatic optic neuropathy,(9) which can lead to irreversible functional damage

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Summary

Introduction

Childbirth is a unique moment in a woman’s life. This event is anticipated during pregnancy in the form of expectations, and is eternalized in the form of memories and feelings in the life of the mother. We present the first report of neonatal palpebral and canicular laceration in cesarean birth. It is a newborn with 38 weeks of gestation. At the first examination still in the delivery room, the pediatrician noticed palpebral laceration on the right. He chose to keep the newborn at zero diet, and requested the opinion of the Ophthalmology team. Surface laceration of the upper and lower eyelids was observed in the medial corner of the right eye, as well as inferior lacrimal canaliculus lesion, chemosis, and ocular hyperemia. At month 5 of follow-up, the site of the palpebral suture had good appearance, and there was no epiphora (Figure 3)

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