Difference between revisions of "Eyelid Lacerations - Donkey"

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==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>]]
 
Lacerations of the eyelid are common, due to the propensity of rubbing heads on anything in the vicinity.
 
 
==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'''
 
 
==Treatment==
 
 
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==
 
 
* 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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|linkpage =Eyelid Diseases - Donkey  
 
|linkpage =Eyelid Diseases - Donkey  
 
|linktext =Eyelid Diseases - Donkey
 
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{{infotable
 
|Maintitle = [[Sponsors#The Donkey Sanctuary|This section was sponsored and content provided by '''THE DONKEY SANCTUARY''']]
 
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[[Category:Donkey]]
 
[[Category:Eyelid_Diseases_-_Donkey]]
 

Revision as of 16:03, 18 February 2010