{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T08:12:21Z","timestamp":1788595941565,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,16]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>We present a neonatal case of complex upper eyelid lacerations with canalicular injury following a forceps-assisted vaginal delivery. Mother\u2019s insistence on vaginal delivery despite obstetric advice of caesarean section led to obstructed labour requiring forceps delivery. The neonate presented with four full-thickness lacerations of the right upper eyelid, including injury to the upper canaliculus. Immediate surgical repair with canalicular stenting was performed. A corneal ulcer developed secondary to stent-induced mechanical trauma. Early stent removal with topical fortified antibiotics led to ulcer resolution. By 3 months, the lid and cornea healed with a favourable anatomical and functional outcome with a residual eyelid notch and paracentral corneal opacity. This case emphasises the complexity of managing maternal preferences in obstetric care, particularly when they conflict with clinical recommendations, and emphasises that timely ophthalmic microsurgical intervention can result in excellent recovery, even in complex neonatal eyelid and canalicular injuries.<\/jats:p>","DOI":"10.1136\/bcr-2025-269036","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:35:15Z","timestamp":1788593715000},"page":"e269036","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic canalicular laceration and complex eyelid injury in a newborn delivered by forceps"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6727-524X","authenticated-orcid":false,"given":"Keerti","family":"Wali","sequence":"first","affiliation":[{"name":"Ophthalmology, Shri B M Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniketan","family":"Vallabha","sequence":"additional","affiliation":[{"name":"Surgery, Shri B M Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anilkumar","family":"Sajjan","sequence":"additional","affiliation":[{"name":"Pediatrics, Shri B M Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"2026090500500832000_19.9.e269036.1","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.jaapos.2023.04.015","article-title":"A prospective study on neonatal ophthalmic injuries associated with forceps delivery","volume":"27","author":"Kong","year":"2023","journal-title":"J AAPOS"},{"key":"2026090500500832000_19.9.e269036.2","doi-asserted-by":"crossref","first-page":"355","DOI":"10.3928\/01913913-20151014-50","article-title":"Forceps Delivery-Related Ophthalmic Injuries: A Case Series","volume":"52","author":"McAnena","year":"2015","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"2026090500500832000_19.9.e269036.3","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/S0002-9394(00)00408-6","article-title":"Choroidal rupture associated with forceps delivery","volume":"129","author":"Estafanous","year":"2000","journal-title":"Am J Ophthalmol"},{"key":"2026090500500832000_19.9.e269036.4","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1007\/s12098-014-1658-2","article-title":"\u201cGlobe Luxation\u201d: A Dramatic Complication of Forceps Assisted Vaginal Delivery","volume":"82","author":"Khanduja","year":"2015","journal-title":"Indian J Pediatr"},{"key":"2026090500500832000_19.9.e269036.5","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/S1091-8531(03)00011-9","article-title":"Traumatic optic nerve injury occurring after forceps delivery of a term newborn","volume":"7","author":"Khalil","year":"2003","journal-title":"J AAPOS"},{"key":"2026090500500832000_19.9.e269036.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000237116.72011.f3"},{"key":"2026090500500832000_19.9.e269036.7","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.oftal.2020.01.003","article-title":"Eye lid and canalicular laceration due to obstetric trauma. Case report","volume":"95","author":"Moreno Escudero","year":"2020","journal-title":"Arch Soc Esp Oftalmol (Engl Ed)"},{"key":"2026090500500832000_19.9.e269036.8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/ojo.ojo_206_24","article-title":"Canalicular repair in an infant with a simple modification in implantation technique of a conventional innovative implant for canalicular stenting","volume":"18","author":"Sharma","year":"2025","journal-title":"Oman J Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:50:21Z","timestamp":1788594621000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":8,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,4]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/bcr-2025-269036"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269036","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}