Conjunctival laceration

Background

• From penetrating injury to the ocular surface

Clinical Features

• full-thickness defect in the conjunctiva
• chemosis

Differential Diagnosis

• subconjunctival hemorrhage
• open globe
• traumatic hyphema

Workup

• Eye Exam
  • confirm negative sidel's sign (r/o globe rupture) and no traumatic hyphema
• CT orbit

Management

Simple

• All of the following:
  • Superficial
  • Not associated with any other serious intraorbital or ocular injury
  • Small (<1 cm)
• Erythromycin ophthalmic ointment and ophtho referal in 1-3

Complex

• Discuss with ophthomology

See Also

• Eye Algorithms (Main)