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      Eyelid Lacerations

      rDVM Quick Reference Guide for this Ophthalmic Emergency

      • Physical Examination
      • Stabilize Systemically
      • Irrigate/Lubricate Tissues
      • Irrigate/Lubricate Cornea
      • Evaluate for Corneal/Ocular Injury
      • Topical Antimicrobials
      • Systemic Analgesia
      • Systemic Anti-Inflammatories
      • Systemic Antimicrobials
      • E-Collar to Prevent Self-Trauma
      • Consider Referral for Surgical Repair

      Eyelid lacerations are typically caused by trauma and are particularly concerning when the eyelid margin is disrupted. A thorough physical exam is essential and stabilization of more critical injuries should be a priority. The eyelid and corneal tissues should be cleansed and kept moist. The eye should be carefully evaluated for additional injuries. Treatment typically comprises topical and systemic antimicrobials and systemic anti-inflammatories. Precise surgical repair should be performed to realign the eyelid margin and re-appose lid tissues, and an Elizabethan collar should be placed to prevent self-trauma.