Diferencia entre revisiones de «Eyelid laceration»

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==Background==
==Background==
*Must rule-out corneal laceration and globe rupture
*Must rule-out corneal laceration and globe rupture
==Clinical Features==
==Differential Diagnosis==
==Diagnosis==


==Treatment==
==Treatment==
#The following lacerations should be repaired by an oculoplastic specialist:
*The following lacerations should be repaired by an oculoplastic specialist:
##Lid margin
**Lid margin
###Only if >1mm; <1mm does not require suturing and will heal spontaneously
***Only if >1mm; <1mm does not require suturing and will heal spontaneously
##Within 6-8mm of medial canthus
**Within 6-8mm of medial canthus
##Lacrimal duct or sac
**Lacrimal duct or sac
##Inner surface of the lid
**Inner surface of the lid
##Wounds associated with ptosis
**Wounds associated with ptosis
##Involving tarsal plate or levator palpebrae muscle
**Involving tarsal plate or levator palpebrae muscle
#[[Nerve Block: supraorbital]] vs [[Nerve Block: Infraorbital]]
*[[Nerve Block: supraorbital]] vs [[Nerve Block: Infraorbital]]


==Disposition==
==Disposition==
#Canalicular Laceration
*Canalicular Laceration
##To OR w/in 24-36hr for repair
**To OR w/in 24-36hr for repair
#All other lacerations
*All other lacerations
##Ophtho consult
**Ophtho consult
 
==See Also==
*[[Lacerations]]


==Source==
==References==
Tintinalli


[[Category:Ophtho]]
[[Category:Ophtho]]
[[Category:Trauma]]
[[Category:Trauma]]

Revisión del 00:52 15 jun 2015

Background

  • Must rule-out corneal laceration and globe rupture

Clinical Features

Differential Diagnosis

Diagnosis

Treatment

  • 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
    • Inner surface of the lid
    • Wounds associated with ptosis
    • Involving tarsal plate or levator palpebrae muscle
  • Nerve Block: supraorbital vs Nerve Block: Infraorbital

Disposition

  • Canalicular Laceration
    • To OR w/in 24-36hr for repair
  • All other lacerations
    • Ophtho consult

See Also

References