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: supraorbital block or infraorbital block.
6-0 or 7-0 suture recommended
Sutures should be removed in 5-7 days
Tetanus prophylaxis
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
Only if >1mm; <1mm does not require suturing and will heal spontaneously
Anesthesia: supraorbital block or infraorbital block.
6-0 or 7-0 suture recommended
Sutures should be removed in 5-7 days
Eyelid laceration
Acute angle-closure glaucoma
Conjunctival laceration
Conjunctival abrasion
Orbital fracture
Corneal foreign body
Ear laceration
Corneal ulcer