Eyelid lacerations secondary to caesarean section delivery

A 32-week-gestation female was delivered emergently via caesarian section to a mother in premature labor due to placental abruption. On delivery, the neonate was noted to have sustained right upper and lower eyelid full-thickness lacerations extending from the medial canthal area with associated right upper and lower full-thickness canalicular lacerations. The neonate underwent same-day surgical repair of her eyelid lacerations with stenting of her canalicular system with a Crawford tube. At 2 months postoperatively, the child is opening her right upper eyelid without any signs of deprivation ambylopia. This case demonstrates the need to inform expectant mothers of the intrinsic risks of periorbital trauma during the birthing process that may result in visual loss through either ambylopia and/or globe injury.