Eyelid Lacerations - Donkey - Revision history

Bara at 23:20, 20 October 2010

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Bara at 12:17, 7 March 2010

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Bara at 16:07, 18 February 2010

2010-02-18T16:07:47Z

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	==Introduction==		==Introduction==
	[[Image:Eyelid laceration donkey.jpg\|right\|thumb\|200px\|<small><center>Eyelid laceration (Image courtesy of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary])</center></small>]]		[[Image:Eyelid laceration donkey.jpg\|right\|thumb\|200px\|<small><center>Eyelid laceration (Image courtesy of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary])</center></small>]]

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	==Introduction==		==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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		+	==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==
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		+	The problem is not the diagnosis but discovering the extent and eliminating any foreign material.
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		+	* Adequate '''sedation''' should be used in order to examine the lesion thoroughly
		+	* Check for any '''corneal trauma'''
		+
		+	==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
		+
		+	==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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