This man fell off his motorbike in January this year resulting in laceration to the right upper eyelid. He was seen by a junior causualty doctor in another town who did not have experience with eyelid repair. The result is a poorly reconstructed eyelid with upper eyelid retraction. The left eye is constantly irritated because it was not completely covered by the lid when the eye is closed. He was referred to the oculoplastic clinic for reconstruction. The pictures show the eyelid margins are not apposed appropriately and there are scarrings with skin shortage centrally. The eye will be reconstructed later this week and I shall post the procedure in the next blog.