Conjunctival Laceration

Clinical Features

• May be isolated or part of more severe intraocular injuries.
• Symptoms: ocular irritation, pain and foreign body sensation.
• Signs include chemosis, subconjunctival hemorrhage and torn conjunctiva.

Work up

• Thorough eye examination under topical or general anesthesia includes dilated fundus examination to rule out intraocular foreign body.
• Seidel test to rule out open globe injury.
• Ultrasonography.
• CT scan to rule out intraocular foreign body.

Management

• Observation.
• Prophylactic topical antibiotics for small lacerations.
• Surgical repair may be required for large lacerations.