Download - Lacerations near the Eye
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Lacerations near the Eye
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Priorities
Was the globe penetrated? Is there a foreign body? Was the orbit penetrated? Is there a globule of fat
sticking out of a lid laceration? If so there may be a globe injury without posterior lid penetration.
Is there a vertical lid laceration, that if repaired may lead to a contracture, inability to close lids and chronic corneal ulcers?
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Priorities
Is there a through and through laceration involving tarsal plate? Is there loss of more than 1/3 of lid margin?
Are important structures in lids involved?
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When debriding eyebrow wound, angle cuts parallel to hair roots and follicles
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Levator palpebrae muscle and lateral and medial ligaments must be intact for eye to close properly
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Horizontal lid lacs, determine no orbit penetration, Levator intact, close with simple interrupteds
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Most lid margin lacerations best consulted to eye or plastics, but
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1st tarsal suture brought out superiorly at gray line
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Consult, but if you must: