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.