Eyelid and Globe Emergencies

Eyelid Trauma

• Types

  • Blunt
  • Sharp/penetrating

• Classification

  • Lid margin
    • Not involved
    • Involved*
  • Canthal involved*
  • Canalicula involved*

Call ophthalmology

Globe Rupture or Laceration

• Stop examination.
• Keep NPO.
• Shield the eye.
• Give tetanus prophylaxis.
• Refer immediately to Ophthalmologist.

Lid Margin Sparing

• Skin and orbicularis only → skin sutures
• Fat protrusion = septum violated
  • Make sure the levator muscle and globe are not involved.