Eyelid laceration

Background

• Must rule-out corneal laceration and globe rupture

Treatment

1. The following lacerations should be repaired by an oculoplastic specialist:
   1. Lid margin
      1. Only if >1mm; <1mm does not require suturing and will heal spontaneously
   2. Within 6-8mm of medial canthus
   3. Lacrimal duct or sac
   4. Inner surface of the lid
   5. Wounds associated with ptosis
   6. Involving tarsal plate or levator palpebrae muscle
2. Nerve block: supraorbital vs Nerve block: Infraorbital

Disposition

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

Source

Tintinalli