Description
Eyelid lacerations can be superficial or deep. Deep lacerations involving the tarsal plate require repair. Eyelid lacerations that extend through the lid margin also require repair.
Symptoms
Eyelid pain, bleeding, impaired vision (due to swelling or drooping of the eyelid).
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A slit lamp exam is done to identify co-existing eye injury. A visual acuity test measures the eyesight. Tonometry may be performed to measure the intraocular pressure and rule out glaucoma. A CT scan of the orbit or head may be performed.
Tests:
CT Scan
Other Specific Tests: Tonometry
Specialists:
Ophthalmology, Plastic Surgery
Workup:
A history and physical exam will be performed. A slit lamp exam is done to identify co-existing eye injury. A visual acuity test measures the eyesight. Tonometry may be performed to measure the intraocular pressure and rule out glaucoma. A CT scan of the orbit or head may be performed.
Tests:
CT Scan
Other Specific Tests: Tonometry
Specialists:
Ophthalmology, Plastic Surgery
Treatment
Simple superficial lacerations can be repaired easily with sutures (stitches). Deeper lacerations involving the tarsal plate or lacerations extending to the lid margin require surgical repair. Eyelid lacerations should be repaired within 12 hours to prevent infection. While waiting for treatment the laceration can be cleaned with water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. A tetanus shot may be needed if the last booster was received more than 5 years ago.