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Unusual Cradle Hook Injury with Full Thickness Upper Eyelid Loss on A 3 year Old Boy

Saju Narayanan, Prajwal M, Faraz Ali Mohammad, Basima Usman VP

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Journal of Plastic Surgery and Transplantation 5(1):p 37-41, January-June 2025. | DOI: NA

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Prajwal M., Saju Narayanan, Faraz Ali Mohammad, Basima Usman V.P. Unusual Cradle Hook Injury with Full Thickness Upper Eyelid Loss on A 3 year Old Boy. J of Pla Sur and Trans. 2025;5(1): 33-37.

Timeline

Received : April 10, 2025         Accepted : May 11, 2025          Published : June 20, 2025

Abstract

In India traumatic eye injuries remain the most common cause for monocular blindness in pediatric age group. Cradle hook ocular injuries itself remains rare but usually presents with simple eyelid laceration or skin avulsion. Injury involves a puncture wound when the hook pierces at a high velocity through the bulbar conjunctiva, either leaving a laceration over cornea or causing severe global injuries or even sparing the globe and involving the eyelids only. Other common modes of ocular injuries in paediatric age group are injury with wooden stick, metallic hook, fire crackers and sports related tools, but this can be associated with serious complications like corneal laceration, scleral perforation, traumatic cataract, vitreous hemorrhage and even retinal detachment. Even though we encounter total avulsion of eyelid with or without canalicular injury occasionally, we seldom visualize large segmental loss of tarsal plate or loss of full thickness upper eyelid in paediatric age group. Right eye and upper eyelid are affected more than left eye or lower eyelid respectively and majority involves full thickness injury. The eyelid and ocular adnexa often protects the globe and minimises the injury to globe. Eyelid injuries should be treated at the appropriate time as they can further result in anatomical as well as functional problems. Propitious repair through effective primary closure can prevent complications like entropion, ectropion, trichiasis, and epiphora. Here we encountered a very unusual presentation of ocular injury with loss of majority of upper eyelid skin and soft tissue following an accidental metallic cradle hook injury.


References

  • 1.   Bhaskar, Dr Anju, and Rajiv Kumar Gupta. “Clinical Profile of Ocular Trauma at a Tertiary Care Hospital.” Ophthalmology Research: An International Journal 19.4 (2024): 10-9734.
  • 2.   Mishra, Samarth, et al. “Fish hook injury of eyelid: An unusual case.” Nigerian Journal of Ophthalmology 24.2 (2016): 76-79.
  • 3.   S.P., Chaudhary A. Singh, M. Agasti, and B.K. Singh. “Eyelid trauma and their management.” International Journal of Ocular Oncology and Oculoplasty 2 (2016): 240-243.
  • 4.   Madan, Ashok Hukumchand, Rajesh Subhash Joshi, and Preeti Dasharath Wadekar. “Ocular trauma in pediatric age group at a tertiary eye care center in central Maharashtra, India.” Clinical ophthalmology (2020): 1003-1009.
  • 5.   Desai, Parul, et al. “Epidemiology and implications of ocular trauma admitted to hospital in Scotland.” Journal of Epidemiology & Community Health 50.4 (1996): 436-441.
  • 6.   Kennedy, Robert H., et al. “Canalicular laceration: an 11-year epidemiologic and clinical study.” Ophthalmic Plastic & Reconstructive Surgery 6.1 (1990): 46-53.
  • 7.   Chiang, Elizabeth, et al. “Does delayed repair of eyelid lacerations compromise outcome.” Am J Emerg Med 35.11 (2017): 1766-1767.

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This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

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Cite this article

Prajwal M., Saju Narayanan, Faraz Ali Mohammad, Basima Usman V.P. Unusual Cradle Hook Injury with Full Thickness Upper Eyelid Loss on A 3 year Old Boy. J of Pla Sur and Trans. 2025;5(1): 33-37.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


Received Accepted Published
April 10, 2025 May 11, 2025 June 20, 2025

DOI: NA

Keywords

Cradle Hook InjurySoft Tissue LossCuttlerbeard Flap

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Received April 10, 2025
Accepted May 11, 2025
Published June 20, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


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