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| + | {{review}} |
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| + | ==Introduction== |
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| + | Lacerations of the eyelid are common, due to the propensity of rubbing heads on anything in the vicinity. |
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| + | ==Diagnosis== |
| + | |
| + | The problem is not the diagnosis but discovering the extent and eliminating any foreign material. |
| + | |
| + | * Adequate '''sedation''' should be used in order to examine the lesion thoroughly |
| + | * Check for any '''corneal trauma''' |
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| + | ==Treatment== |
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| + | Even quite severe lacerations heal remarkably well due to the excellent blood supply. |
| + | |
| + | * Any devitalised tissue must be removed by '''selective debridement''' |
| + | * Do not remove flaps of skin unless they are necrotic |
| + | * If re-apposition of the edges is required then the wound must be '''thoroughly cleaned and irrigated''' (povidone-iodine diluted 1:30 is safe for corneal cleansing) |
| + | * Care must be taken to '''appose the edges correctly''' to maintain the eyelid anatomy. Staples could be considered instead of suture material, as the edges are not under tension. 3/0 vicryl with a swaged-on cutting needle is the easiest to use |
| + | * '''Systemic [[NSAIDs|NSAID''']] should be used for five to seven days to reduce pain and swelling. |
| + | * '''Systemic [[Antibiotics|antibiotics''']] are usually required |
| + | * '''Topical antibiotics''' are applied to the cornea in cases of corneal ulceration |
| + | * '''Tetanus prophylaxis''' is essential |
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| + | ==References== |
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| + | * Grove, V. (2008) Conditions of the eye In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 11 |
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