View source for Eyelid laceration

==Background==
[[File:Gray896.png|thumb|Anterior view of the right eye, with lacramal duct shown medial.]]
[[File:Gray894.png|thumb|The tarsi and their ligaments. Right eye; anterior view.]]
[[File:eyelid glands.png|thumb]]
*Must rule-out corneal laceration and [[globe rupture]]

==Clinical Features==
*History of [[ocular Trauma|trauma]]
*Visible laceration

==Differential Diagnosis==
{{Ocular DDX}}

==Evaluation==
*Clinical diagnosis
*Consider orbital XR or CT to evaluate for foreign body, fractures, etc
*Check tetanus status

==Management==
*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 involvement
**Inner surface of the lid involvement (or "through and through" laceration)
**Wounds associated with ptosis
**Tarsal plate or levator palpebrae muscle involvement
*Simple superficial horizontal lacerations may be repaired by the Emergency Physician
**Anesthesia: [[Nerve Block: supraorbital|supraorbital block]] or [[Nerve Block: Infraorbital|infraorbital block]].
**6-0 or 7-0 [[Sutures|suture]] recommended
**Sutures should be removed in 5-7 days
*[[Tetanus prophylaxis]]

==Disposition==
*If repaired by the Emergency Physician, discharge with ophtho follow-up
*All other lacerations require ophtho consult for repair

==See Also==
*[[Laceration repair]]

{{Special lacerations see also}}

==External Links==

==References==
<References/>

[[Category:Ophthalmology]]
[[Category:Trauma]]