DOI: https://doi.org/10.36347/sjmcr.2025.v13i12.031

Pages: 3018-3024

Background: Eyelid avulsion is a rare but serious injury usually associated with severe facial trauma. Due to the eyelid’s intricate anatomy and crucial role in protecting the eye, such injuries constitute a surgical emergency. Prompt repair by an experienced ophthalmic surgeon is required to restore both functional and aesthetic integrity. Case Presentation: We report a 25-year-old male who sustained a left lower eyelid avulsion following a road traffic accident caused by glass fragments. The avulsion involved the medial canthus and lower eyelid margin, accompanied by a smaller upper eyelid laceration and conjunctival hyperemia. Visual acuity was 10/10 in both eyes. The patient received systemic antibiotics, anti-inflammatory medication, topical dexamethasone-neomycin, and artificial tears before undergoing layered surgical reconstruction. The conjunctival fornix was reconstituted with 7-0 Vicryl, the medial canthus reattached with 6-0 Prolene, the muscular layer closed with 8-0 Vicryl, and the skin sutured with 6-0 Prolene. Postoperative recovery was favorable, with mild transient edema at day 10 and complete healing at one month without epiphora or lid malposition. Conclusion: Early meticulous repair by an ophthalmic surgeon ensures satisfactory cosmetic and functional outcomes in eyelid avulsion injuries. Delay in management can result in significant sequelae such as ectropion, notching, or chronic tearing.