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Eyelid laceration
Ocular Trauma
Key Points
- •Always rule out open globe injury before manipulating any eyelid laceration - a missed globe injury is the most serious pitfall
- •The three-suture technique (grey line, lash line, meibomian orifice) is the gold standard for lid margin repair to prevent notching
- •Any laceration medial to the punctum must be assessed for canalicular injury using fluorescein irrigation
- •Dog bites carry high risk of canalicular involvement and infection - consider delayed primary closure for contaminated wounds
- •Fat prolapse through an eyelid wound indicates violation of the orbital septum - evaluate for deeper orbital and globe injuries
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- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations