Author, Donkey, Bureaucrats, Administrators
53,803
edits
Changes
Eyelid Lacerations - Donkey (view source)
Revision as of 16:07, 18 February 2010
, 16:07, 18 February 2010no edit summary
{{review}}
==Introduction==
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
{{toplink
{{toplink
|backcolour = D1EEEE
|backcolour = D1EEEE