Primary Reconstructive Management of Severe Ocular Trauma: Case Report

Severe periocular trauma without globe involvement represents a reconstructive challenge that requires timely surgical intervention to restore eyelid function, facial symmetry, and prevent aesthetic and functional sequelae. This article presents the case of a 69-year-old male patient who sustained an extensive injury to the left periorbital region as a result of a work accident involving a table saw. Despite the high-energy trauma, no intraocular damage or direct globe involvement was detected, with ocular integrity confirmed through ophthalmologic evaluation. Surgical management was performed by the plastic surgery team, consisting of primary reconstruction including soft tissue repair, layered closure, and eyelid margin reconstruction. Early intervention preserved eyelid functionality, prevented secondary deformities, and achieved a satisfactory aesthetic outcome. This case highlights the importance of a multidisciplinary approach and prompt intervention in facial traumatic injuries, even in the absence of direct ocular damage, to optimize anatomical and functional recovery of the periorbital area.

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Publication Details

Journal
International Journal of Medical Science and Clinical Research Studies
Published
2025-07-14
DOI
https://doi.org/10.47191/ijmscrs/v5-i07-13
Primary Topic
Traumatic Ocular and Foreign Body Injuries
Type
article
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article

Primary Reconstructive Management of Severe Ocular Trauma: Case Report

Maria Luísa Cordeiro Santos, César Gutiérrez, Pedro E. Cruz, A. Ramírez et al.
International Journal of Medical Science and Clinical Research Studies
Traumatic Ocular and Foreign Body Injuries
article

Primary Reconstructive Management of Severe Ocular Trauma: Case Report

Maria Luísa Cordeiro Santos, César Gutiérrez, Pedro E. Cruz, A. Ramírez, Ricardo Salinas Perea, Alondra Olvera Garibay, Tomás Alberto Ríos Chico, Paola Gonzalez Castelan, Gabriela Citlalli Gutiérrez Viveros, Katherine Itzuri Gaspard Cervantes, Filipa Osório
article en

Abstract

Severe periocular trauma without globe involvement represents a reconstructive challenge that requires timely surgical intervention to restore eyelid function, facial symmetry, and prevent aesthetic and functional sequelae. This article presents the case of a 69-year-old male patient who sustained an extensive injury to the left periorbital region as a result of a work accident involving a table saw. Despite the high-energy trauma, no intraocular damage or direct globe involvement was detected, with ocular integrity confirmed through ophthalmologic evaluation. Surgical management was performed by the plastic surgery team, consisting of primary reconstruction including soft tissue repair, layered closure, and eyelid margin reconstruction. Early intervention preserved eyelid functionality, prevented secondary deformities, and achieved a satisfactory aesthetic outcome. This case highlights the importance of a multidisciplinary approach and prompt intervention in facial traumatic injuries, even in the absence of direct ocular damage, to optimize anatomical and functional recovery of the periorbital area.

International Journal of Medical Science and Clinical Research StudiesVol. 05(07)
Universidad Autónoma de Tlaxcala (MX), Universidad Autónoma de Guadalajara (MX), Autonomous University of Chihuahua (MX), Universidad Michoacana de San Nicolás de Hidalgo (MX), Autonomous University of Aguascalientes (MX), Universidad Autónoma de Nayarit (MX), Oasis of Hope Hospital (MX), Hospital General De Zona (MX), Universidad Autónoma de Chiapas (MX), Hospital Universitario de León (ES), Universidad Tecnológica de Nayarit (MX), Instituto Politécnico Nacional (MX), Institute for Social Security and Services for State Workers (MX)
Openalex Percentile: Top 74%
Traumatic Ocular and Foreign Body Injuries
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