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Lid laceration repair 

Early repair of lid lacerations provides less edema and better protection of the corneal tissue. Your surgeon will administer anesthesia and clean the wound by irrigating it with saline solution. Foreign bodies present in your eye will be removed and injury to the lid margin and canthus (corner point where the eyelids meet) will be repaired. Your surgeon will align the lid margin by using sutures. After the surgery, antibiotic or steroidal ointments may be applied to provide pain relief or prevent infection. A transparent eye shield may be placed to protect the treated eye.

Lacrimal/Canalicular repair

The canaliculi constitute an important part of the lacrimal drainage system through which tears drain from the eyes. Injuries to the canalicular portion of the tear drainage system can often lead to lacerations of the canaliculi. Canalicular repair surgery is always performed under general anesthesia for children. In the case of adults, either local anesthesia or monitored anesthesia with intravenous sedation is provided. The surgery involves microscopic repair and reattachment of the severed ends of the canaliculi.

Cornoscleral tear repair

 Repair of a corneoscleral tear involves treating the cornea, sclera (white part of the eye) and restoring the eyes’ original anatomy. For repairing the laceration, your surgeon will first evaluate the severity of the damage, administer anesthesia and then if needed, suture the globe before exploring the wound. Your surgeon will suture the limbus (border of cornea and sclera), and perform procedures to treat the prolapsed iris or vitreous (gelatinous mass filling the space between the lens and back of the eye) if necessary.  Your surgeon will then explore the scleral wound and repair the segments of scleral lacerations. The procedure is completed by injecting antibiotics into the vitreous, suturing the conjunctiva (scleral covering) and applying an eye patch.

Traumatic cataract surgeries

A traumatic cataract develops when the eye lens gets damaged from either a blunt (snowball, water balloon) or penetrating force. Surgical approaches vary depending on the extent and nature of the damage. A primary surgical approach involves simultaneous removal of the lens and corneal laceration repair, usually undertaken if the lens damage is clear and extensive. In a secondary surgery, the corneal laceration repair precedes cataractous lens removal. The secondary approach may be indicated in cases of severe corneal trauma with marked edema.

Intraorbital foreign body removal

Any external object that gets embedded inside the orbit is referred to as an intraorbital foreign body (IOFB). An IOFB may get introduced into the eye by a freak accident such as a high-velocity gunshot or a mishap at the workplace.  Treatment depends on the nature and location of the injury in the eye. Immediate surgical removal is recommended for metal pieces. Also, certain foreign objects are allowed to remain in the eye if the removal is associated with greater damage.

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