2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 11: Reconstructive Eyelid Surgery
Injuries of the eyelid may be divided into 2 categories: blunt trauma and penetrating trauma. Cardinal rules in the management of eyelid trauma include the following:
Take a careful history.
Record the best visual acuity for each eye.
Thoroughly evaluate the globe and orbit.
Obtain appropriate radiologic studies.
Have a detailed knowledge of eyelid and orbital anatomy.
Ensure the best possible primary repair.
Ecchymosis and edema are the most common presenting signs of blunt trauma. Patients should be evaluated for intraocular injury with a thorough biomicroscopic evaluation and dilated fundus examination. Computed tomography may be indicated to assess for an orbital fracture. See Chapter 6 in this volume for further discussion of orbital fractures.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.