Dr.Romi Singh, Dr.Shreya Shah, DR.SIDDHARTH RAJENDRAGIRI GOSAI, Dr.Satyam Gupta
AIM: Management of traumatic ptosis: A DIFFICULT TASK. Traumatic ptosis is a tiring job to be done. It requires meticulous primary wound repair followed by medical therapy to resolve lid edema as well as hematoma. After this actual amount of ptosis can be assessed and corrected. A 13 yrs old boy reported to Occuloplasty Depatment of Drashti Netralaya, Dahod, with injury to right upper and lower lid by iron rod. Lid repair is done under GA, with grey line is sutured along with stump-LPS-stump suture & lacrimal probing with bicanalicular silicon tube intubation. After 2 months intubation tube is removed.Patient is then evaluated for traumatic ptosis and effectively managed 6 months after initial presentation.
CONCLUSION: Adequate primary wound repair, considering lacrimal functions should be initially addressed. Good observational approach with patience is required for functional (lacrimal & lid) & cosmetic correction.