Conjunctival laceration

Background

  • From penetrating injury to the ocular surface

Clinical Features

  • Conjunctivae have less innervation than cornea so far less symptomatic
  • Full-thickness defect in the conjunctiva
  • Chemosis

Differential Diagnosis

Unilateral red eye

^Emergent diagnoses

^^Critical diagnoses

Evaluation

  • Eye Exam
    • Confirm negative seidel's sign (rule out 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 referral

Complex

  • Discuss with ophthalmology

Disposition

  • Simple: Outpatient
  • Complex: Discuss with ophtho

See Also

External Links

References