Eyelid Laceration and Globe Rupture Management
Overview
Eyelid lacerations are common ocular trauma injuries ranging from minor abrasions to complex full-thickness wounds involving underlying structures. Globe rupture is a serious complication that requires urgent recognition and management to preserve vision.
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Globe Rupture
Epidemiology
- Occurs in approximately 60% of eyelid laceration cases.
- High suspicion warranted with severe eyelid swelling or significant trauma.
Mechanism and Risk Factors
- Caused by direct trauma: sharp objects, high-speed projectiles, blunt force (e.g., punches).
- Globe rupture is an ophthalmic emergency.
Clinical Management
- Do not apply pressure to the affected eye to avoid worsening the injury.
- Immediate referral to ophthalmology for urgent evaluation and surgical repair.
Diagnostic Evaluation
- CT scan of the orbits is the preferred imaging modality to confirm rupture and assess injury extent.