Eyelid laceration (skin cut)

About Eyelid laceration (skin cut)

Eyelid lacerations can be superficial or deep. Deep lacerations involving the tarsal plate require ophthalmologic repair. Eyelid lacerations that extend through the lid margin also require ophthalmologic repair.

Symptoms

Eyelid pain, bleeding, impaired vision (due to swelling or drooping of the eyelid).

Tests & Diagnostics

A history and physical exam will be performed. A slit lamp exam is done to identify co-existing eye injury. A visual acuity test measures the eyesight. Tonometry may be performed to measure the intraocular pressure and rule out glaucoma. A CT scan of the orbit or head may be performed.

Common tests: CT Scan.

Conventional treatment summary

Simple superficial lacerations can be repaired easily with sutures. Deeper lacerations involving the tarsal plate or lacerations extending to the lid margin require ophthalmologic or plastic surgery repair. Eyelid lacerations should be repaired within 12 hours to prevent infection. While waiting for treatment the laceration can be cleaned with water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last booster was received more than 5 years ago.

Medical specialties

Ophthalmology · Plastic Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Eyelid laceration (skin cut).