Trauma injuries to any body part not only cause severe pain and discomfort to the patient but also pose a big medical challenge. Trauma to orbital or ocular area and eyelids in particular are very complicated because our eyelids comprise thousands of minute components. And surgery of the eyelids because of the trauma requires the expertise of an oculoplastic surgeon for the treatment, because an oculoplastic surgeon can deal with the complex eyelid anatomy in the best way possible.
Irrespective of the nature of the trauma, the orbital area needs to be checked very thoroughly. Sometimes not only major trauma, minor trauma also can cause severe problems in the eyelids. The eyes can suffer from ruptured muscles, broken optic nerves etc. The surgical approach towards the management of eyelid trauma will be different for each case. But mostly, before any surgery for eyelid trauma is begun, the globe of the eye is checked. This is done to ensure that there is no problem with the globe due to trauma which can cause problems with the vision.
Generally eyelid trauma can be divided into two categories; penetrating trauma injuries and blunt trauma injuries.
The first step of eyelid trauma surgery is to know the source or the cause of the injury. Every trauma injury becomes different because of its cause. So, before the surgery for eyelid trauma is begun, a surgeon will try to find out about the following question to perform the surgery better:-
- What caused the eyelid trauma?
- When did the eyelid trauma happen?
- Is there any possibility of any foreign debris stuck in the eyes or the eyelids due to trauma?
- Was the patient using any safety precautions like a helmet or safety goggles when the trauma happened?
- Did the trauma happen due to any chemical splash on the eyelids? In such cases the eyelids are flushed out immediately.
Because of penetrating injuries, severe eyelid trauma occurs which can even cause vision loss. Blunt trauma injuries may cause the levator muscles in the eyelids to get detached. Fluid accumulation may also be caused in the eyelids due to blunt trauma injuries. Before surgery, physical examination of the eyelid is done to assess if any foreign objects are present in the eyelids. Also, sometimes, only physical examination of the trauma injury may not be enough and the doctor may order imaging tests to see the extent of the trauma to the eyelids.
There are several steps that are done as the first step of the eyelid trauma surgery. The Intra-ocular pressure and the movements of the eyelids are checked. Before the surgery, the eyelids are checked for all the muscles and the nerves. Because of eyelid trauma, condition of the cornea may also get deteriorated. The muscles detachment due to eyelid trauma can cause ptosis which can cause the vision to be obstructed and may affect the symmetry of the face which may require reconstructive surgery. The tissue of the eyelids may become unusable due to the trauma of the eyelids. In such cases also surgery needs to be performed.
Best eyelid trauma surgery in India:-
Statistically, India is one of the top three countries where the highest number of car accidents occurs. This means that a huge number of people suffer from trauma injuries in India. The top reason of trauma injuries in India is the lack of safety precautions. Many accidents and traumas occur because the people forget to wear their seat belts in India. Metro cities like Delhi, Mumbai, and Kolkata witness a large number of crashes. In Mumbai, the best surgeon of India, Dr. Shome says that he routinely gets patients from all over India for eyelid trauma surgery. According to Dr. Shome, a lack of awareness in India leads to numerous cases of eyelid trauma. Eyelid trauma may occur due to occupational hazards also, but people in such jobs in India do not wear any protective safety eye gear. In Mumbai, patients for eyelid trauma surgery are often people who took their safety for granted. Thanks to Dr. Shome in Mumbai, who is the top oculoplastic surgeon in India, many such patients that visit him to Mumbai, do not lose their vision. Dr. Shome approaches eyelid trauma surgery at his clinic in Mumbai in the best way possible so that no collateral damage is caused. His clinics are the best in Mumbai, because they are known to provide the treatment with top equipment and technology. In India, most people are not aware that surgery for eyelid trauma requires expertise of an oculoplastic surgeon and not just any ophthalmic surgeon. In Mumbai, Dr. Shome is the best oculoplastic surgeon and he performs surgery for eyelid trauma along with the surgery for eyelid reconstruction. Mumbai has seen huge developments as far as medical technology is concerned. In Mumbai, Dr. Shome has established a chain of clinics which provide top of the line healthcare and surgery for trauma. Dr. Shome says that the people of India need awareness for surgery about eyelid trauma. Most people think that a single surgery may suffice. However in most cases a secondary surgery needs to follow the first surgery. Mumbai has the expertise of Dr. Shome however in case you require a surgery for eyelid trauma, you can come to Mumbai from anywhere in India. Dr. Shome manages even some of the most complex cases of surgery and has saved vision of many patients at his Mumbai clinics. Dr. Shome says that the best approach for surgery in India which is often taken by surgeons may not be the correct approach. The top approach for surgery should be chosen to avoid any more damage to the eyelids. In Mumbai, for all his patients Dr. Shome chooses the surgery approach depending upon the nature of the eyelid trauma. In India, we need more oculoplastic surgeons like Dr. Shome who can perform trauma management as well as reconstructive surgery. His Mumbai clinics have the capacity to deal with reconstructive surgery of patients after the trauma so that the appearance and function in the eyelids are retained. Surgery is the best approach because if any debris is stuck in the eyes it can cause permanent damage. The best doctor of India for eyelid trauma surgery Dr. Shome is practicing in Mumbai presently.
