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Eyelid: laceration
Introduction
- Cause: traumatic injuries are common.
- Signs: traumatic injury to eyelid.
- Diagnosis: signs.
- Treatment: reconstruction of the lid should be performed promptly.
- Accurate repair of the lid margin is vital to reduce cicatrix formation leading to ectropion , entropion or trichiasis Trichiasis and preventing formation of a 'step' in the eyelid margin leading to keratitis.
- Prophylactic antibiotics are usually indicated Therapeutics: eye.
- Extensive trauma leading to loss of significant lid margin may lead to exposure/trichiasis problems and in these cases blepharoplasty techniques may be required.
- Prognosis: good if prompt, accurate repair.
Presenting signs
- Lacerated eyelid.
- Eyelid trauma.
- Eyelid swelling.
- Eyelid hemorrhage.
- Ocular pain.
- Conjunctival hyperemia.
- Ocular discharge Eye: ocular discharge - overview .
- Concurrent corneal and/or scleral laceration/rupture may be present.
Cost considerations
- Extensive loss of lid may require substantial lid reconstructive techniques necessitating operating microscopy techniques and expertize, ie referral.
- Simple surgical repair in uncomplicated cases. Surgical repair needs to be rapid.
Pathogenesis
Diagnosis
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Treatment
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Prevention
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Milgram J, Weiser M, Kelmer E et al (2011) Axial pattern flap based on a cutaneous branch of the facial artery in cats. Vet Surg 40 (3), 347-351 PubMed.
- Hunt G B (2006) Use of the lip-to-lid flap replacement of the lower eyelid in five cats. Vet Surg 35 (3), 284-286 PubMed.
- van der Woerdt A (2004) Adnexal surgery in dogs and cats. Vet Ophthalmol 7 (5), 284-290 PubMed.
- Lackner P A (2001) Techniques for surgical correction of adnexal disease. Clin Tech Small Anim Pract 16 (1), 40-50 PubMed.
- Glaze M B (1997) Ophthalmic disease and its management. Vet Clin North Am Small Anim Pract 27 (6), 1505-1522 PubMed.
Other sources of information
- Gelatt K N (2007) Veterinary Ophthalmology. 4th edn. Blackwell Publishing, Iowa.
- Petersen-Jones S & Crispin S (2002) BSAVA Manual of Small Animal Ophthalmology. 2nd edn. British Small Animal Veterinary Association. ISBN 0 905214 54 4