Plaies palpébro-lacrymales de l’enfant

Abstract

The authors report the different palpebral and lacrimal wounds found in children and their treatment. Early microscopic surgery is important for good prognosis. The eyelids must be thoroughly examined searching for a marginal injury, superior palpebral levator muscle resection, and lacrimal system injury after ocular injuries have been investigated. The treatment is microscopic surgery of the eyelid and the canaliculus with most often a monocanalicular intubation. The authors present two clinical studies conducted in the Reims Hospital that show the frequency of this traumatology and the main characteristics. In children, most injuries come from dog bites with canalicular laceration in the left lower eyelid. In palpebral injuries without canalicular section, the injury was most often located on the right lower eyelid. Preliminary treatment of childhood palpebral and lacrimal injuries is necessary with microscopic surgery. It is important to repair the canaliculus with or without canalicular intubation and the eyelid margin.