Eyelid laceration
Background
- Must rule-out corneal laceration and globe rupture
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
- Lid margin
- Nerve Block: supraorbital vs Nerve Block: Infraorbital
Disposition
- Canalicular Laceration
- To OR w/in 24-36hr for repair
- All other lacerations
- Ophtho consult
Source
Tintinalli