Saju Narayanan, Prajwal M, Faraz Ali Mohammad, Basima Usman VP
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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.
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.
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| Received | Accepted | Published |
|---|---|---|
| April 10, 2025 | May 11, 2025 | June 20, 2025 |
Monday 22 June 2026, 04:31:12 (IST)
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| Received | April 10, 2025 |
| Accepted | May 11, 2025 |
| Published | June 20, 2025 |
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.