Lid Laceration

• Penetrating ocular injuries that cause lid lacerations have to be carefully explored
• The injuries may range from simple laceration to globe perforation and injury to the lacrimal system
• History of blunt objects contusions to the periorbital region may raise the suspicion of countercoup retinal problems and blowout fractures of the orbit

Work Up

• A possible foreign body embedded within the lacerated lid and the globe has to be ruled out
• Thorough ophthalmologic examination is crucial as the condition permits
• Orbital X-ray, CT-scan, or ultrasonography is sometimes required for further diagnostic purposes

Management

• Should not always be carried out as an emergency procedure
• Delayed repair for up to 48 hours is especially beneficial for lacerations with significant risk of infection or contamination