Pournaras C J
Clinique d'ophtalmologie, Hôpital cantonal universitaire de Genève.
Schweiz Rundsch Med Prax. 1990 Nov 27;79(48):1502-5.
The eyelids not only protect the ocular globe, but also keep it wet and transparent. In the case of a palpebral wound the survival of the ocular globe is perhaps at stake. Corrective reconstruction of a palpebral wound must be considered as quickly as possible in order to restore eyelid shape and mobility. A facial emergency must be treated along the lines of an immediate reconstruction. A completely successful restoration must see to the prevention of complications associated, on one hand to poor adaptation of the wounded edge engendering a deformed eyelid, a coloboma at the free edge, malpositioning (entropion or ectropion), or an acquired ptosis. On the other hand, stenosis of the lacrymal canaliculus will lead to epiphora. Both complications present later difficulties for treatment.
眼睑不仅保护眼球，还能保持眼球湿润和透明。在睑部伤口的情况下，眼球的存活可能受到威胁。睑部伤口的矫正重建必须尽快进行，以恢复眼睑的形状和活动能力。面部急诊必须按照立即重建的原则进行治疗。完全成功的修复必须防止出现相关并发症，一方面是伤口边缘贴合不佳导致眼睑变形、游离缘缺损、错位（睑内翻或睑外翻）或后天性上睑下垂。另一方面，泪小管狭窄会导致溢泪。这两种并发症都会给后续治疗带来困难。
