Signs of Eyelid laceration (Skin cut)

Description

Eyelid lacerations can be superficial or deep. Deep lacerations involving the tarsal plate require ophthalmologic repair. Eyelid lacerations that extend through the lid margin also require ophthalmologic repair.

Symptoms

Laceration of the eyelid, eye pain, blurry vision.

Tests

A history and physical exam will be performed. A slit lamp exam is done to identify a co-existing eye injury. A visual acuity test measures the eyesight. Tonometry may be done to measure the intraocular pressure and rule out traumatic glaucoma. A orbit or head CT scan may be performed.

Standard Workup

CT Scan

Treatment

Simple superficial lacerations can be repaired easily with sutures. Deeper lacerations involving the tarsal plate or lacerations extending to the lid margin require ophthalmologic or plastic surgery repair. Eyelid lacerations should be repaired within 12 hours to prevent infection. While waiting for treatment the laceration can be cleaned with running water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound.