KIMS Kurnool Performs Complex Eye Reconstruction on Injured Six-Year-Old Girl
Doctors at KIMS Hospitals, Kurnool, successfully restored the eyelid anatomy and tear drainage function of a six-year-old girl after performing a complex three-hour microsurgical reconstruction following a severe eye injury sustained in a domestic accident.
According to the hospital, the child, Divisha, a resident of Kurnool, suffered a deep injury around her right eye after accidentally falling onto a gate while playing at home.
Dr. Navya Kothacheruvu, Consultant Plastic Surgeon at KIMS Hospitals, Kurnool, said clinical examination revealed extensive lacerations involving both the upper and lower eyelids, along with complete transection of the lower canaliculus—a delicate tear drainage channel essential for normal tear flow.
She said such injuries are relatively uncommon in children and require immediate surgical intervention, as delayed treatment may result in chronic watering of the eye, eyelid deformity and long-term functional impairment.
Explaining the complexity of the procedure, Dr. Navya Kothacheruvu said pediatric canalicular reconstruction is particularly challenging because of the extremely small calibre of the lacrimal drainage system and the delicate surrounding tissues, requiring meticulous microsurgical precision.
The child underwent emergency surgery under loupe magnification using specialised microsurgical instruments. During the nearly three-hour procedure, surgeons identified the transected lower canaliculus and reconstructed it using an Intracath stent to maintain the tear drainage pathway. Microsurgical canalicular anastomosis was then performed using fine 8-0 nylon sutures, followed by a meticulous multilayered repair of the eyelid to restore both function and cosmetic appearance.
"The small size of the lacrimal drainage system in children makes this procedure technically demanding. However, timely intervention and meticulous microsurgical repair helped achieve an excellent functional and aesthetic outcome," said Dr. Navya Kothacheruvu.
According to the hospital, the child's postoperative recovery was uneventful, with complete restoration of normal eyelid anatomy and tear drainage. She was discharged in stable condition without complications.
Dr. Navya Kothacheruvu advised parents not to ignore injuries involving the inner corner of the eyelid, as damage to the tear drainage system can easily be overlooked. She said prompt referral to a plastic and reconstructive surgeon with expertise in microsurgery can help prevent lifelong complications and ensure optimal functional and cosmetic recovery.
KIMS Hospitals said the successful outcome highlights the importance of early diagnosis, timely surgical intervention and advanced microsurgical expertise in managing complex pediatric eyelid injuries.
According to the hospital, the child, Divisha, a resident of Kurnool, suffered a deep injury around her right eye after accidentally falling onto a gate while playing at home.
Dr. Navya Kothacheruvu, Consultant Plastic Surgeon at KIMS Hospitals, Kurnool, said clinical examination revealed extensive lacerations involving both the upper and lower eyelids, along with complete transection of the lower canaliculus—a delicate tear drainage channel essential for normal tear flow.
She said such injuries are relatively uncommon in children and require immediate surgical intervention, as delayed treatment may result in chronic watering of the eye, eyelid deformity and long-term functional impairment.
Explaining the complexity of the procedure, Dr. Navya Kothacheruvu said pediatric canalicular reconstruction is particularly challenging because of the extremely small calibre of the lacrimal drainage system and the delicate surrounding tissues, requiring meticulous microsurgical precision.
The child underwent emergency surgery under loupe magnification using specialised microsurgical instruments. During the nearly three-hour procedure, surgeons identified the transected lower canaliculus and reconstructed it using an Intracath stent to maintain the tear drainage pathway. Microsurgical canalicular anastomosis was then performed using fine 8-0 nylon sutures, followed by a meticulous multilayered repair of the eyelid to restore both function and cosmetic appearance.
"The small size of the lacrimal drainage system in children makes this procedure technically demanding. However, timely intervention and meticulous microsurgical repair helped achieve an excellent functional and aesthetic outcome," said Dr. Navya Kothacheruvu.
According to the hospital, the child's postoperative recovery was uneventful, with complete restoration of normal eyelid anatomy and tear drainage. She was discharged in stable condition without complications.
Dr. Navya Kothacheruvu advised parents not to ignore injuries involving the inner corner of the eyelid, as damage to the tear drainage system can easily be overlooked. She said prompt referral to a plastic and reconstructive surgeon with expertise in microsurgery can help prevent lifelong complications and ensure optimal functional and cosmetic recovery.
KIMS Hospitals said the successful outcome highlights the importance of early diagnosis, timely surgical intervention and advanced microsurgical expertise in managing complex pediatric eyelid injuries.
