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Eyelid Laceration

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. [1]

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.
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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 trauma in an infant. Such lacerations tend to follow
relaxed skin tension lines.
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Proper management includes the following:
 Excluding any accompanying injury to the globe
 Protecting the cornea and maintaining proper lid dynamics
 Excluding a foreign body
 Minimizing the risk of infection
 Optimizing cosmesis

Source : https://emedicine.medscape.com/article/1212531-overview#a5

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