What is a lamellar laceration?

Lamellar laceration is a partial thickness wound of the eyewall caused by a sharp object. Both structural and func- tional damage to the eye can be as a result of blunt trauma36. Traumatic macular holes and retinal de- tachment or dialysis may also occur after blunt ocular trauma37-39.

How do you treat a lacerated eyelid?

When to Treat

1. Irrigate the wound. Use a sterile saline and check the eyelid laceration for any retained foreign body.
2. Prepare the wound. Apply betadine in a circular motion starting at the laceration edge and working away from the laceration.
3. Apply surgical tape.
4. Tissue adhesive.
5. Prophylactic care.

What is a full thickness eyelid laceration?

Eyelid lacerations are considered complicated when they are full-thickness or involve a ruptured globe, intraorbital foreign body, the lacrimal draining system, the levator aponeurosis or superior rectus muscle, damage to the lid margin, visible orbital fat prolapse, medial canthal tendon rupture, or extensive tissue …

Can you use Dermabond on eyelid?

Dermabond (2-octyl cyanoacrylate), a glue, has been described for skin closure; however, care must be taken to ensure that this glue does not adhere to the lids or touch the cornea. Glue should not be used for jagged, stellate, deep, contaminated, bite, or crush wounds.

How is the margin of an eyelid laceration repaired?

Full-thickness margin repairs may be achieved by placing a single “buried vertical mattress” through the tarsus in line with the meibomian orifices (See Figure 1). This location is critical for wound strength and margin eversion. If the lid margin defect is not slightly everted at the time of repair, then notching is likely to develop.

Can a laceration of the anterior lamella be closed?

Injury to the anterior lamella (skin and orbicularis) can be closed in layers, if wounds are stepped, or as a combined unit with simple interrupted or a running 6-0 to 7-0 sutures along the cutaneous skin defect. Interrupted sutures may allow for hematoma egress or infection drainage, although both of these complications are rare.

What is the differential diagnosis for an eyelid laceration?

Differential diagnosis The differential for lid lacerations includes periocular contusion, canthal tendon avulsion, lid avulsion. Concominant injury or disorders can also be present and includes an extensive list, including conjunctival abrasion, corneal foreign body, orbital fracture, orbital foreign body, and traumatic hyphema

How long does it take to heal an eyelid laceration?

Lid sutures can generally be removed 4-7 days following repair, while sutures in the periorbital skin and lid margins should be left in place for 5-10 days. Although sutures can be removed relatively quickly, patients should be informed that complete wound healing and scar formation requires 6-12 months.