Eyelid laceration

Background

  • Must rule-out corneal laceration and globe rupture

Clinical Features

Differential Diagnosis

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
    • Inner surface of the lid
    • Wounds associated with ptosis
    • Involving tarsal plate or levator palpebrae muscle
  • Nerve Block: supraorbital vs Nerve Block: Infraorbital

Disposition

  • Canalicular Laceration
    • To OR w/in 24-36hr for repair
  • All other lacerations
    • Ophtho consult

See Also

References