2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 11: Reconstructive Eyelid Surgery
Eyelid Trauma
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:
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Take a careful history.
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Record the best visual acuity for each eye.
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Thoroughly evaluate the globe and orbit.
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Obtain appropriate radiologic studies.
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Have a detailed knowledge of eyelid and orbital anatomy.
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Ensure the best possible primary repair.
Blunt Trauma
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.