First of all, unless this unfortunate woman was a Cyclops, she had four eyelids.
Addressing tissue loss depends on how much is lost and where, upper, lower, or both.
Protecting a seeing eye is the first order of business. Everything else follows. A truly unclosable lid due to tissue loss can be dealt with several ways. One is to do a temporary Gunderson flap, another is to do partial tarsorraphies with whatever tissue does remain to protect the cornea, another might be to use allograft material like amniotic membrane. If the skin was lost but underlying conjunctiva or tarsus remained, then skin flaps can be mobilized from the brow or temple to close over a lower or upper defect. Grafts would be the second line of approaches, possibly a distant second in someone with a substantial amount of facial trauma as apparently this lady had. In many ways, this case could require techniques used in severe burn trauma, tissue culture and other highly specialized reconstructive methods.
