Eyelid laceration: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*History of trauma | |||
*Visible laceration | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Ocular DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
*Clinical diagnosis | |||
==Treatment== | ==Treatment== | ||
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***Only if >1mm; <1mm does not require suturing and will heal spontaneously | ***Only if >1mm; <1mm does not require suturing and will heal spontaneously | ||
**Within 6-8mm of medial canthus | **Within 6-8mm of medial canthus | ||
**Lacrimal duct or sac | **Lacrimal duct or sac involvement | ||
**Inner surface of the lid | **Inner surface of the lid involvement (or "through and through" laceration) | ||
**Wounds associated with ptosis | **Wounds associated with ptosis | ||
** | **Tarsal plate or levator palpebrae muscle involvement | ||
*Simple superficial horizontal lacerations may be repaired by the Emergency Physician | |||
*[[Nerve Block: supraorbital]] vs [[Nerve Block: Infraorbital]] | *[[Nerve Block: supraorbital]] vs [[Nerve Block: Infraorbital]] | ||
==Disposition== | ==Disposition== | ||
* | *If repaired by the Emergency Physician, discharge with ophtho follow-up | ||
*All other lacerations require ophtho consult for repair | |||
*All other lacerations | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<References/> | |||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 05:32, 11 August 2015
Background
- Must rule-out corneal laceration and globe rupture
Clinical Features
- History of trauma
- Visible laceration
Differential Diagnosis
Ocular Diagnoses
- Acute angle-closure glaucoma
- Conjunctival abrasion
- Corneal foreign body
- Corneal ulcer
- Episcleritis
- Painful eyes with normal exam
- Pterygium
- Scleritis
- Traumatic hyphema
- Uveitis
- Pinguecula
Diagnosis
- Clinical diagnosis
Treatment
- The following lacerations should be repaired by an oculoplastic specialist:
- Lid margin
- Only if >1mm; <1mm does not require suturing and will heal spontaneously
- Within 6-8mm of medial canthus
- Lacrimal duct or sac involvement
- Inner surface of the lid involvement (or "through and through" laceration)
- Wounds associated with ptosis
- Tarsal plate or levator palpebrae muscle involvement
- Lid margin
- Simple superficial horizontal lacerations may be repaired by the Emergency Physician
- Nerve Block: supraorbital vs Nerve Block: Infraorbital
Disposition
- If repaired by the Emergency Physician, discharge with ophtho follow-up
- All other lacerations require ophtho consult for repair