Treatment is immediate lateral canthotomy and cantholysis (surgical exposure of the lateral canthal tendon with incision of its inferior branch) followed by: Monitoring with possible inpatient hospitalization with elevation of the head of the bed to 45° Treatment of elevated IOP as in acute angle-closure glaucoma Reversal of any coagulopathy Prevention of further increasing intraorbital pressure (preventing or minimizing pain, nausea, cough, straining, severe hypertension) Application of ice or cool compresses Consultation with ophthalmology for consideration of surgery and / or other indicated speciality-specific treatments Key Points Consult an ophthalmologist if an eyelid laceration is complicated (eg, through the margin, tarsal plate, or canaliculus, causing ptosis, or exposing orbital fat).