2. ALI.R.Ashtari MD Isfahan University of medical sciences1391

3. Blunt Penetrating

4. Take a careful history Record the best acuity for each eye Thoroughly evaluate the globe and orbit Obtain approtaiate radiologic studies Have a detailed knowledge of eyelid and orbital anatomy Ensure the best primary repair

5. Ecchymosis and edeuma

6. A detailed knowledge of eyelid anatomy Location and depth of the injury

11. Partial-thickness and full-thickness eyelid laceration, canthal avulsions, and canalicular lacerations are common

13. initial trauma Cicatricial changes surgical repair elliptical excislon Z-plasty Free skin grafts Tarsoconjunctival grafts Buccal mucosa Hard palate composite grafts Traumatic ptosis

14. Priorities in eyelid reconstruction Development of a stalili eyelid margin Provision of adequate vertical eyelid height Adequate eyelid closure Smooth,epithelialized interal surface Maximum cosmesis and symmetry

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