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Eyelid lacerations are managed differently depending on the injury's depth, width, and location. Surgical management will be broken down into these categories: laceration without eyelid margin involvement, laceration with eyelid margin involvement, and laceration with nasolacrimal system involvement. This activity describes the types of eyelid lacerations, their repair, and potential complications. Objectives: Identify the anatomy of the eyelid. Determine the indications for an eyelid laceration repair. Implement the technique for repairing an eyelid laceration. Communicate the importance of improving care coordination among the interprofessional team to enhance care delivery for patients undergoing repair of an eyelid laceration. Access free multiple choice questions on this topic.
Eyelid lacerations are managed differently depending on the injury's depth, width, and location. Surgical management is broken down into these categories: laceration without eyelid margin involvement, laceration with eyelid margin involvement, and laceration with nasolacrimal system involvement.
Complications of eyelid lacerations that do not involve the canalicular system include missed injury, infection, eyelid notching, irregular eyelid contour, lagophthalmos, exposure keratopathy, septal perforation, prolapse of orbital fat, corneal injury, shortening of eyelid fornices, wound dehiscence, entropion, trichiasis, and hemorrhage. Additional complications include lacerations involving the canalicular system, such as epiphora, stent migration, and epistaxis.[10]
Patients with eyelid lacerations often visit the emergency department or the urgent clinic. The emergency department physician may manage a simple eyelid laceration, but all other lacerations should be referred to the ophthalmologist or plastic surgeon. Before any repair, the ophthalmic nurse should assess the patient's visual acuity. Complex eyelid lacerations are often associated with other eye injuries requiring a full evaluation before repair. The outlook for simple eyelid lacerations is excellent. All interprofessional team members, including clinicians, specialists, mid-level providers, pharmacists, and nursing staff, must work as a cohesive unit to optimize patient outcomes in these procedures.