Marian Pauly
Dr. Marian Pauly received her Master’s Degree in Ophthalmology from University of Kerala, India and later she underwent for 2 years fellowship in Orbit and Oculoplasty from the prestigious Sankara Netralaya, Chennai, India. She is a life member of Oculoplastic Society of India. She is the recipient of Dr Gangadhara Sundar Award for young Oculoplastic Surgeon as well as Jayaben Chamanlal Shah Gold Medal for Best Outgoing Sub-Specialty Fellow. Currently she is practicing in Giridhar Eye Institute, Kerala, India
Bipasha Mukherjee
Dr. Bipasha Mukherjee is a fellow in Orbit & Oculoplasty from Aravind Eye Hospitals, India, and ICO fellow from University Hospital of Limoges, France, under Prof. Jean-Paul Adenis. She has undergone clinical observerships with stalwarts like Jack Rootman, Richard Collins, Geoff Rose, Mark Duffy, and Robert Goldberg.
She currently heads the department of Orbit, Oculoplasty, Aesthetic & Reconstructive services in Medical Research Foundation, Chennai. She has numerous presentations in national and international conferences and publications in peer-reviewed journals and text books. Her areas of interest include diseases of the orbit and adnexa including tumors, lacrimal surgery, socket reconstruction, traumatic lid and adnexal injuries, training residents and fellows, and photography.
The number of investigations carried out in an emergency setting, in a patient of isolated lid and/or lacrimal trauma, is limited.
The primary aim of the treating consultant would be to rule out associated trauma to the globe or deeper orbital structures. Outlined below are the investigations that are useful in specific situations.
Blood Tests
Routine blood examination and random blood sugar is sufficient before any surgical repair. Coagulation parameters are indicated if the patient is on anticoagulants or gives history of chronic liver disease. Test for viral markers like HIV/HbsAg/HCV, should be undertaken, with the patients’ consent, before any major repair [1, 2].
Imaging
Chest X-ray is indicated if the surgery is under general anaesthesia. Plain X-rays of the orbit and paranasal sinus (PNS) may be requested in suspected foreign bodies or orbital fractures where CT facility is unavailable (although blowout fractures maybe missed). After ruling out open globe injury, Ultrasound B scan is done if the fundus details are not visible, to rule out intraocular foreign body and/or posterior segment involvement.
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