Eyelid Laceration 

  • Author: Edsel Ing, MD, FRCSC; Chief Editor: Hampton Roy Sr, MD   more...
 
Updated: Apr 26, 2012
 

Background

Numerous mechanisms of blunt and penetrating facial trauma may result in eyelid lacerations. Even seemingly innocuous blunt objects in the workplace can cause eyelid lacerations in experienced workers.

Penetrating lid trauma with extensive periorbital Penetrating lid trauma with extensive periorbital ecchymosis. A ringlike projectile was ejected from a pipe fitting under high pressure. The patient also experienced choroidal rupture and traumatic optic neuropathy.

Eyelid lacerations may (1) involve the lid margin, requiring a meticulous suture technique; (2) be extramarginal; or (3) cause tissue loss.

Extramarginal upper lid laceration from blunt trauExtramarginal upper lid laceration from blunt trauma in an infant. Such lacerations tend to follow relaxed skin tension lines.

Proper management includes the following: excluding any accompanying injury to the globe, excluding a foreign body, protecting the cornea, maintaining proper lid dynamics, and optimizing cosmesis.

Next

Epidemiology

Age

Eyelid lacerations can occur at any age and have even been described in newborns after cesarean delivery.[1]

Previous
Proceed to Clinical Presentation
 
 
Contributor Information and Disclosures
Author

Edsel Ing, MD, FRCSC  Associate Professor, Department of Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine; Consulting Staff, Toronto East General Hospital, Canada

Edsel Ing, MD, FRCSC is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American Society of Ophthalmic Plastic and Reconstructive Surgery, Canadian Ophthalmological Society, North American Neuro-Ophthalmology Society, and Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Specialty Editor Board

Jack L Wilson, PhD  Distinguished Professor, Department of Anatomy and Neurobiology, University of Tennessee Health Science Center College of Medicine

Jack L Wilson, PhD is a member of the following medical societies: American Association of Anatomists, American Association of Clinical Anatomists, and American Heart Association

Disclosure: Nothing to disclose.

Simon K Law, MD, PharmD  Associate Professor of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology

Disclosure: Nothing to disclose.

Mark T Duffy, MD, PhD  Consulting Staff, Division of Oculoplastic, Orbito-facial, Lacrimal and Reconstructive Surgery, Green Bay Eye Clinic, BayCare Clinic; Medical Director, Advanced Cosmetic Solutions, A BayCare Clinic

Mark T Duffy, MD, PhD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, American Society of Ophthalmic Plastic and Reconstructive Surgery, Sigma Xi, and Society for Neuroscience

Disclosure: Allergan - Botox Cosmetic Honoraria Speaking and teaching

Lance L Brown, OD, MD  Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD  Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

References

  1. Timoney PJ, Stansfield B, Whitehead R, Lee HB, Nunery WR. Eyelid Lacerations Secondary to Caesarean Section Delivery. Ophthal Plast Reconstr Surg. Nov 2011;[Medline].

  2. Ing E, Ing T, Emara B. Ocular adnexal injuries from industrial blunt hook trauma. Can J Ophthalmol. Apr 2002;37(3):177-8. [Medline].

  3. Green BF, Kraft SP, Carter KD, et al. Intraorbital wood. Detection by magnetic resonance imaging. Ophthalmology. May 1990;97(5):608-11. [Medline].

  4. Balaggan KS, Goolamali SI. Periorbital necrotising fasciitis after minor trauma. Graefes Arch Clin Exp Ophthalmol. Feb 2006;244(2):268-70. [Medline].

  5. Stevenson TR, Thacker JG, Rodeheaver GT, et al. Cleansing the traumatic wound by high pressure syringe irrigation. JACEP. Jan 1976;5(1):17-21. [Medline].

  6. Cho SH, Hyun DW, Kang HJ, Ha MS. A simple new method for identifying the proximal cut end in lower canalicular laceration. Korean J Ophthalmol. Jun 2008;22(2):73-6. [Medline]. [Full Text].

  7. Jordan DR, Gilberg S, Mawn LA. The round-tipped, eyed pigtail probe for canalicular intubation: a review of 228 patients. Ophthal Plast Reconstr Surg. 2008;24:176-80.

  8. Priel A, Leelapatranurak K, Oh SR, Korn BS, Kikkawa DO. Medial canthal degloving injuries: the triad of telecanthus, ptosis, and lacrimal trauma. Plast Reconstr Surg. Oct 2011;128(4):300e-305e. [Medline].

  9. Perry JD, Aguilar CL, Kuchtey R. Modified vertical mattress technique for eyelid margin repair. Dermatol Surg. Dec 2004;30(12 Pt 2):1580-2. [Medline].

  10. Gonnering RS, Kindwall EP, Goldmann RW. Adjunct hyperbaric oxygen therapy in periorbital reconstruction. Arch Ophthalmol. Mar 1986;104(3):439-43. [Medline].

  11. Dagum AB, Antonyshyn O, Hearn T. Medial canthopexy: an experimental and biomechanical study. Ann Plast Surg. Sep 1995;35(3):262-5. [Medline].

 
Previous
Next
 
Extramarginal upper lid laceration from blunt trauma in an infant. Such lacerations tend to follow relaxed skin tension lines.
Penetrating lid trauma with extensive periorbital ecchymosis. A ringlike projectile was ejected from a pipe fitting under high pressure. The patient also experienced choroidal rupture and traumatic optic neuropathy.
Preoperative. This child had a dog bite injury with a double lower lid margin laceration, dehiscence of the lateral canthal tendon, and disruption of the inferior canaliculus.
Postoperative. The inferior canaliculus was repaired with bicanalicular stenting. Lateral canthus reattachment and repair of lid margin lacerations was performed.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.